Calandra Tahnee Broades - Las Vegas, NV

Calandra Tahnee Broades

Prosthetic/Orthotic Supplier in Las Vegas, Nevada

NPI 1477266849

Calandra Tahnee Broades is a Prosthetic/Orthotic Supplier based in Las Vegas, NV. Calandra Tahnee Broades practices in Las Vegas, NV. The NPI Number for Calandra Tahnee Broades is 1477266849 and holds a License No. NV2022642425 (Nevada).

The current practice location address for Calandra Tahnee Broades is 5067 Madre Mesa Dr Apt 2015, Las Vegas, NV and can be reached out via phone at 903-280-5025.

Location: 5067 Madre Mesa Dr Apt 2015, Las Vegas, NV, 89108-3592

NPI Number

1477266849

Provider Name

Calandra Tahnee Broades

Credential

Provider Entity Type

Individual

Gender

Female

Address

5067 Madre Mesa Dr Apt 2015, Las Vegas, NV, 89108-3592

Phone Number

903-280-5025

Fax Number

Provider Enumeration Date

01/02/2023

Last Update Date

03/10/2024

Identifier	Type	State	Issuer
884365835	05	NV

Address

5067 Madre Mesa Dr Apt 2015

City

Las Vegas

State

Nevada

Zip

89108-3592

Phone Number

903-280-5025

Fax Number

Address

5067 Madre Mesa Dr Apt 2015

City

Las Vegas

State

Nevada

Zip

89108-3592

Phone Number

903-280-5025

Fax Number

Type

Suppliers

Classification

Prosthetic/Orthotic Supplier

Speciality

Taxonomy

335E00000X

License No.

NV2022642425 (Nevada)

Definition

An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.

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