Ann-Toy Ellsworth Broughton

NPI #1366097362 in Tetonia, Idaho

Provider Information

NPI Number
1366097362
Entity Type
Individual
Name
Ann-Toy Ellsworth Broughton
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Technician - Attendant Care Provider
Enumeration Date
Aug 6, 2019
Last Updated
Aug 6, 2019

Practice Location

Address
10570 RAMMELL MOUNTAIN RD
State
Idaho
ZIP Code
83452-4971
Phone
(208) 456-2758

Specialties & Taxonomy Codes

Specialty
Technician - Attendant Care ProviderAttendant Care Provider

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