ANDREA BROADNAX

FAYETTEVILLE, NC
NPI1508225160
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy347C00000X Private Vehicle
Additional Taxonomies251S00000X 
(Licence: NC  2016-3437-01)
Enumeration Date2016-02-10
Last Update Date2016-11-07
Business Address
-- ANDREA BROADNAX
3444 BRAGG BLVD
FAYETTEVILLE, NC 28303-3946
Phone number: 910-286-7873
Mailing Address
-- ANDREA BROADNAX
882 SOUTHVIEW CIR
FAYETTEVILLE, NC 28311-0318
Phone number:
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