Individual
BRENT FONDSHAY BROOME
Active
Individual
BRENT FONDSHAY BROOME
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CNA
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
A034616
MS
343900000X
Non-emergency Medical Transport (VAN)
—
MS
3747A0650X
Attendant Care Provider
Primary
—
MS
376K00000X
Nurse's Aide
A034616
MS
Other
Enumeration date
05/07/2010
Last updated
01/17/2026
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