Individual
ANNA BRODERICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1570 E 17TH ST, SANTA ANA, CA 92705-8502
(714) 834-1111
(714) 972-0454
Mailing address
6076 BRISTOL PKWY STE 105, CULVER CITY, CA 90230-6600
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
18734
CA
Other
Enumeration date
12/24/2013
Last updated
12/24/2013
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