JEANNINE KAY BROOME

PROVIDENCE HEALTH AND SERVICES - WASHINGTON

Dr JEANNINE KAY BROOME is a female medical professional, specializing in Physical Therapy. She graduated in 1975.

Contact

PROVIDENCE HEALTH AND SERVICES - WASHINGTON

1111 S 2ND AVE
WALLA WALL
WA
993624118

Tel: 5098975174

JEANNINE KAY BROOME Information

Npi 1275079774
Pac Id 1153669692
Professional Enrollment Id I20190208001094
Last Name BROOME
First Name JEANNINE
Middle Name KAY
Suffix
Gender F
Credential
Medical School Name OTHER
Graduation Year 1975
Primary Specialty PHYSICAL THERAPY
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Organization Legal Name PROVIDENCE HEALTH AND SERVICES - WASHINGTON
Group Practice Pac Id 2860552973
Number Of Group Practice Members 146
Line 1 Street Address 1111 S 2ND AVE
Line 2 Street Address
Marker Of Address Line 2 Suppression
City WALLA WALL
State WA
Zip Code 993624118
Phone Number 5098975174
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
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Professional Accepts Medicare Assignment Y

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