Justin Allen Broad

NPI #1568163996 in Massillon, Ohio

Provider Information

NPI Number: 1568163996
Entity Type: Individual
Name: Justin Allen Broad
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Home Health Aide
Enumeration Date: Mar 13, 2023
Last Updated: Mar 13, 2023

Practice Location

Address: 960 COLINA VISTA ST NW
City: Massillon
State: Ohio
ZIP Code: 44646-3053
Phone: (330) 906-0644

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Home Health Aide	374U00000X	Primary

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