Individual
MR. JAMES EDWARD BROOKS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BSBA, NHA, LPN
Contact information
Practice address
25 N SPRUCE ST, COLORADO SPRINGS, CO 80905-1436
(719) 327-5660
Mailing address
3320 WAVERLY LN, COLORADO SPRINGS, CO 80922-1288
(719) 637-0145
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
PN2278
CO
376G00000X
Nursing Home Administrator
Primary
NHA2278
CO
Other
Enumeration date
03/10/2008
Last updated
03/10/2008
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