Jennifer L Broderick, CAREGIVER

NPI #1144258807 in Lexington, Ohio

Provider Information

NPI Number: 1144258807
Entity Type: Individual
Name: Jennifer L Broderick, CAREGIVER
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Contractor
Credential: CAREGIVER
Enumeration Date: Jun 29, 2006
Last Updated: Jul 9, 2007

Practice Location

Address: 79 W MAIN ST
City: Lexington
State: Ohio
ZIP Code: 44904-1113
Phone: (419) 884-1302

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Contractor	171W00000X	Primary

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