Individual
RITA BROUGHTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
4933 WABASH ST, METAIRIE, LA 70001-1031
(504) 780-2766
(504) 780-9699
Mailing address
3726 N LOYOLA DR APT 243, KENNER, LA 70065-7741
(985) 502-0332
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
20142574
LA
Other
Enumeration date
10/10/2016
Last updated
10/10/2016
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