Individual
MS. GAYLE A BRODBECK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
1419 E. WILLOW DR., MOHAVE VALLEY, AZ 86440
(928) 768-4538
Mailing address
PO BOX 5070, MOHAVE VALLEY, AZ 86446-5070
(928) 768-4538
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
RN 508158
AZ
Other
Enumeration date
08/04/2009
Last updated
08/04/2009
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