Individual
GEORGE FRANK BROOMFIELD SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
C.N.A
Contact information
Practice address
3556 ROCK MAPLE DR, INDIANAPOLIS, IN 46235-3576
(317) 696-5380
Mailing address
3556 ROCK MAPLE DR, INDIANAPOLIS, IN 46235-3576
(317) 696-5380
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
CNA9814475
IN
Other
Enumeration date
03/20/2009
Last updated
03/20/2009
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