TIA LEA BROADNAX

GREENSBORO, NC
NPI1144913708
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy163W00000X Registered Nurse
(Licence: NC  218830)
Enumeration Date2023-05-31
Last Update Date2023-05-31
Business Address
TIA LEA BROADNAX
1203 MAPLE ST
GREENSBORO, NC 27405-6910
Phone number: 336-840-5591
Mailing Address
TIA LEA BROADNAX
1203 MAPLE ST
GREENSBORO, NC 27405-6910
Phone number: 336-840-5591
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