Luisa Broden
Luisa Broden is a Student in an Organized Health Care Education/Training Program in Moscow, Idaho. Practices as a sole proprietor. Licensed in Idaho.
- Licensed in
- ID
- In the registry since
- 2020
Practice location Address checks out
902 N Almon St Apt 3Moscow, ID 83843-8544
Phone: (509) 675-3813
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X (ID) |
|---|
Record details
| NPI number | 1003434283 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | July 14, 2020 |
| Last updated in NPPES | July 14, 2020 |
| Certification date | July 14, 2020 |
| Mailing address | 615 E 9th Ave, Colville, WA 99114-9463 |
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