Individual
ANGELINE BROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3960 WALNUT DR, EUREKA, CA 95503-8938
(707) 268-8722
(707) 268-0218
Mailing address
3960 WALNUT DR, EUREKA, CA 95503-8938
(707) 268-8722
(707) 268-0218
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/28/2013
Last updated
01/28/2013
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