MRS. Jennie Tara Broadhurst, BA DEGREE
NPI #1114186996 in Thousand Oaks, California
Provider Information
- NPI Number
- 1114186996
- Entity Type
- Individual
- Name
- MRS. Jennie Tara Broadhurst, BA DEGREE
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Case Manager/Care Coordinator
- Credential
- BA DEGREE
- Enumeration Date
- Jun 5, 2008
- Last Updated
- Jun 5, 2008
Practice Location
- Address
- 72 MOODY CT
- City
- Thousand Oaks
- State
- California
- ZIP Code
- 91360-6067
- Phone
- (805) 587-5328
Specialties & Taxonomy Codes
| Specialty |
|---|
| Case Manager/Care Coordinator |
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