Broadway Wellness Center

NPI 1073953923 - Clinic/Center - 261QS1200X

NPI Details
NPI 1073953923
Enumeration Date 06/25/2013
Last Updated 06/25/2013
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name HENRY HENRY
Position MANAGER
Phone (323) 932-9352
Fax
Practice Location
706 W BROADWAY
SUITE 100
GLENDALE CA, 91204-1032, US
Phone (323) 932-9352
Fax
Business Location
706 W BROADWAY
SUITE 100
GLENDALE CA, 91204-1032, US
Phone
Fax
Toxanomy
Taxonomy Code 261QS1200X
License State
License Number
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According to our database, Broadway Wellness Center NPI is 1073953923, taxonomy code is 261QS1200X Broadway Wellness Center physically located at 706 W Broadway, Glendale CA, 91204-1032. NPI Number 1033115704 has the healthcare provider type.

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1073953923 NPI number is provided on an as is basis without warranty of any kind. 1073953923 is maintained by the National Plan & Provider Enumeration System. The contents of Broadway Wellness Center are for informational purposes only.