Individual
BRODERICK EUGENE CLEMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
520 N MAPLE ST, MONTICELLO, IA 52310-1227
(319) 975-0285
Mailing address
520 N MAPLE ST, MONTICELLO, IA 52310-1227
(319) 975-0285
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
03/27/2025
Last updated
03/27/2025
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