Search › New Jersey › 164W00000X
Mutahannah Broomes
NPI 1417710245 · on the registry since 2024 · sole proprietor
Practice
- Address
- 293 Birch Bark Dr
Brick, NJ 08723 - Phone
- (732) 604-6762
Registry record
- Primary taxonomy
- 164W00000X
164W00000X
- Licence states on file
- NJ
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-02-05
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 New Jersey