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Individual

JENNIFER ANNE HOUSE-BRODZIAK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
ACUPUNCTURIST

Contact information

Practice address
3836 W HILLSBORO BLVD, DEERFIELD BEACH, FL 33442-9413
(954) 428-4747
Mailing address
504 NW 6TH WAY, BOYNTON BEACH, FL 33426-2967
(561) 740-7569
(561) 740-7569

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AP 1878
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
C0986
BLUE CROSS BLUE SHIELD
FL
Enumeration date
04/03/2007
Last updated
07/08/2007
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