AMELIA LILLIAN BROADNAX

SAN DIEGO, CA
NPI1851672075
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2011-09-01
Last Update Date2014-07-21
Business Address
-- AMELIA LILLIAN BROADNAX
1250 6TH AVE SUITE A
SAN DIEGO, CA 92101-4300
Phone number: 619-810-8603
Mailing Address
-- AMELIA LILLIAN BROADNAX
4385 ROSEBUD LN APT G
LA MESA, CA 91941-6247
Phone number: 619-654-7326
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