NPI 1851170476
Isonya Tierra Broome
Practice location
- Address
- 2901 West Blvd, Charlotte, NC 28208-6775
- Phone
- (843) 337-1425
Registered specialties (3)
Personal Emergency Response Attendant
Primary
Physiological Laboratory
Home Delivered Meals
Registry record
- NPI
- 1851170476
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 22 Sep 2023
- Record last updated
- 22 Sep 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.