Calandra Tahnee Broades

NPI #1477266849 in Las Vegas, Nevada

Provider Information

NPI Number
1477266849
Entity Type
Individual
Name
Calandra Tahnee Broades
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Prosthetic/Orthotic Supplier
Enumeration Date
Jan 2, 2023
Last Updated
Jan 2, 2023

Practice Location

Address
5067 MADRE MESA DR APT 2015
State
Nevada
ZIP Code
89108-3592
Phone
(903) 280-5025

Specialties & Taxonomy Codes

Specialty
Prosthetic/Orthotic Supplier

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