DR. Prudence Armandine Broadwell, LAC

NPI #1174737522 in Fountain Valley, California

Provider Information

NPI Number: 1174737522
Entity Type: Individual
Name: DR. Prudence Armandine Broadwell, LAC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Acupuncturist
Credential: LAC
Enumeration Date: May 9, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 18837 BROOKHURST ST
Address 2: SUITE 210
City: Fountain Valley
State: California
ZIP Code: 92708
Phone: (714) 965-9266

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Acupuncturist	171100000X	Primary

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