DOREATHA BROADNAX

LOS ANGELES, CA
NPI1093045189
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225400000X Rehabilitation Practitioner
Enumeration Date2010-01-12
Last Update Date2010-01-12
Business Address
-- DOREATHA BROADNAX
7410 S BROADWAY
LOS ANGELES, CA 90003-2034
Phone number: 323-541-9016
Mailing Address
-- DOREATHA BROADNAX
7410 S BROADWAY
LOS ANGELES, CA 90003-2034
Phone number: 323-541-9016