Individual
JO ANN BROOMHALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
430 FRANKLIN ST, RUMFORD, ME 04276-2104
(207) 364-7831
Mailing address
430 FRANKLIN ST, RUMFORD, ME 04276-2104
(207) 364-7831
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
032401
ME
Other
Enumeration date
02/07/2006
Last updated
10/21/2010
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