CALANDRA T BROADES, Prosthetic/Orthotic Supplier LAS VEGAS, NV

Contact Information

CALANDRA T BROADES

5067 MADRE MESA DR APT 2015
LAS VEGAS, NV 89108-3592

Phone: 903-280-5025
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Prosthetic/Orthotic Supplier	335E00000X	51	Medical Supply Company with Orthotist

Indicates primary specialty

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NPI Profile & details for CALANDRA T BROADES · (Female)

NPI Number	`1477266849`
Status	Active
Credentials
Entity	Individual
Enumeration date	01/02/2023
Last updated	01/02/2023 - About 3 years ago
Sole proprietor ¹	Yes
Identifiers	NV License # NV2022642425 NV Medicaid 884365835
Hospital affiliation(s)	Not Available

¹ A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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CALANDRA T BROADESProsthetic/Orthotic Supplier

Contact Information

Specialty

Prosthetic/Orthotic Supplier

NPI Profile & details for CALANDRA T BROADES · (Female)

Reviews for CALANDRA T BROADES

CALANDRA T BROADES
Prosthetic/Orthotic Supplier