Individual
ASHLEY NICOLE BROUGHTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
500 EL CAMINO REAL, SANTA CLARA, CA 95053-8660
(408) 551-3193
Mailing address
1564 WOODMEADOW CT, SAN JOSE, CA 95131-3715
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
07/19/2017
Last updated
05/08/2020
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