Individual
MRS. BONNIE LYNN BROIDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
36000 EUCLID AVE, WILLOUGHBY, OH 44094-4625
(440) 953-6240
Mailing address
37436 HUNTERS RIDGE RD, SOLON, OH 44139-2535
(440) 953-6240
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50-001676
OH
Other
Enumeration date
05/16/2007
Last updated
07/08/2007
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