Ametha Broadwater, LPN

NPI #1669728754 in Bristol, Virginia

Provider Information

NPI Number
1669728754
Entity Type
Individual
Name
Ametha Broadwater, LPN
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Licensed Practical Nurse
Credential
LPN
Enumeration Date
Jul 26, 2012
Last Updated
Jul 26, 2012

Practice Location

Address
151 REEDY ST
ZIP Code
24201-3126
Phone
(423) 646-1560

Specialties & Taxonomy Codes

Specialty
Licensed Practical Nurse

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