NPI 1477266849

Calandra Tahnee Broades

Practitioner Prosthetic/Orthotic Supplier Las Vegas, NV

Practice location

Address: 5067 Madre Mesa Dr APT 2015, Las Vegas, NV 89108-3592
Phone: (903) 280-5025

Registered specialties

Prosthetic/Orthotic Supplier Primary

Suppliers Taxonomy 335E00000X Licence NV2022642425 (NV)

Other Prosthetic/Orthotic Supplier providers in Nevada →

Registry record

NPI: 1477266849
Entity type: Individual
Sex (as registered): Female
NPI issued: 2 Jan 2023
Record last updated: 2 Jan 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.