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Individual

MS. EDITH BROUGHTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
13629 ERIN DR, MORENO VALLEY, CA 92555-2524
(951) 337-7860
Mailing address
13629 ERIN DR, MORENO VALLEY, CA 92555-2524
(951) 337-7860

Taxonomy

Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
409365
CA
163WH0200X
Home Health Registered Nurse
Primary
409365
CA

Other

Enumeration date
09/16/2021
Last updated
09/17/2021
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