Individual
DR. MARIE-THERE YVONNE BROCA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
3396 N STOCKTON HILL RD, KINGMAN, AZ 86409-3648
(702) 343-3180
Mailing address
5040 LANCASTER DR, LAS VEGAS, NV 89120-1445
(702) 343-3180
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1713
AZ
152W00000X
Optometrist
617
NV
152W00000X
Optometrist
TUV 007017
NY
Other
Enumeration date
03/29/2007
Last updated
10/03/2011
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