Individual
ASIA BROADUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9 RAGAN RIDGE RD, SICKLERVILLE, NJ 08081-4866
(856) 404-2164
Mailing address
9 RAGAN RIDGE RD, SICKLERVILLE, NJ 08081-4866
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AK001468
PA
Other
Enumeration date
01/20/2025
Last updated
01/27/2025
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