Individual
MS. JANE LOUISE BROUGHTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
OFF HWY 191 HOSPITAL ROAD, CHINLE, AZ 86503
(928) 674-7001
(928) 674-7705
Mailing address
PO BOX DRAWER PH, CHINLE, AZ 86503
(928) 674-7001
(928) 674-7705
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
337040
IL
Other
Enumeration date
12/14/2006
Last updated
07/08/2007
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