AMETHA BROADWATER

BRISTOL, VA
NPI1669728754
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: VA  0002070904)
Enumeration Date2012-07-26
Last Update Date2012-07-26
Business Address
-- AMETHA BROADWATER LPN
151 REEDY ST
BRISTOL, VA 24201-3126
Phone number: 423-646-1560
Mailing Address
-- AMETHA BROADWATER LPN
151 REEDY ST
BRISTOL, VA 24201-3126
Phone number:
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