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Luisa Broden
NPI 1003434283 · on the registry since 2020 · sole proprietor
Practice
- Address
- 902 N Almon St Apt 3
Moscow, ID 83843 - Phone
- (509) 675-3813
Registry record
- Primary taxonomy
- Student in an Organized Health Care Education/Training Program
390200000X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2020-07-14
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho