Individual
MRS. LORETTA BROUDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
433 E 237TH ST, BRONX, BRONX, NY 10470-2002
(347) 873-0342
Mailing address
433 E 237TH ST, BRONX, BRONX, NY 10470-2002
(347) 873-0342
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
265613-1
NY
Other
Enumeration date
09/22/2010
Last updated
09/22/2010
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