Individual
MS. ISONYA TIERRA BROOME
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2901 WEST BLVD, CHARLOTTE, NC 28208-6775
(843) 337-1425
Mailing address
2901 WEST BLVD, CHARLOTTE, NC 28208-6775
(843) 337-1425
Taxonomy
Speciality
Code
Description
License number
State
146D00000X
Personal Emergency Response Attendant
Primary
—
NC
293D00000X
Physiological Laboratory
—
NC
332U00000X
Home Delivered Meals
—
NC
Other
Enumeration date
09/22/2023
Last updated
09/22/2023
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