Provider Demographics
NPI:1447581194
Name:BROHAMER, APRIL
Entity Type:Individual
Prefix:
First Name:APRIL
Middle Name:
Last Name:BROHAMER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8380 CENTER DR
Mailing Address - Street 2:SUITE E
Mailing Address - City:LA MESA
Mailing Address - State:CA
Mailing Address - Zip Code:91942-2952
Mailing Address - Country:US
Mailing Address - Phone:619-466-6077
Mailing Address - Fax:619-466-6118
Practice Address - Street 1:8380 CENTER DR
Practice Address - Street 2:SUITE E
Practice Address - City:LA MESA
Practice Address - State:CA
Practice Address - Zip Code:91942-2952
Practice Address - Country:US
Practice Address - Phone:619-466-6077
Practice Address - Fax:619-466-6118
Is Sole Proprietor?:No
Enumeration Date:2010-01-20
Last Update Date:2010-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA00022847227800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes227800000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, Certified