Broadnax, Deodra

Broadnax, Deodra is an sole proprietor health care provider with primary practice located at 1451 Marine Ave Apt D , Gardena CA 90247-3331. She recently has only one registered license in Agencies / Day Training, Developmentally Disabled Services, which is considered as her primary health care specialty. Broadnax, Deodra can be contacted via phone (310) 991-0023.

Contact Information

Primary practice address
1451 Marine Ave Apt D Gardena CA 90247-3331
Phone: (310) 991-0023
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Agencies / Day Training, Developmentally Disabled Services 251C00000X

Profile Details

NPI number 1548879489
LBN Legal business name Broadnax, Deodra
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 27th, 2020
Last updated Jul 27th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers