Individual
DR. MICHELLE ALETA BROADNAX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1313 NEW YORK AVE NW, MCCLENDON CENTER, WASHINGTON, DC 20005-4701
(202) 737-2316
(202) 737-2316
Mailing address
9705 POLING TER, FORT WASHINGTON, MD 20744-3970
(301) 248-8238
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD17992
DC
Other
Enumeration date
10/09/2009
Last updated
10/09/2009
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