Individual
MARY BROADBENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3901 S FIFE ST STE 301, TACOMA, WA 98409-7309
(253) 589-5334
(253) 584-1508
Mailing address
3901 S FIFE ST STE 301, TACOMA, WA 98409-7309
(253) 589-5334
(253) 584-1508
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN00123576
WA
Other
Enumeration date
11/29/2018
Last updated
11/29/2018
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