Individual
AIMEE VIDRINE BROUSSARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
128 CURRAN LN, LAFAYETTE, LA 70506-7222
(337) 991-0101
(855) 724-6797
Mailing address
128 CURRAN LN, LAFAYETTE, LA 70506-7222
(337) 991-0101
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN074755
LA
Other
Enumeration date
01/08/2021
Last updated
01/08/2021
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