Individual
EMMA BROUSSARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1504 GUILLOT RD, YOUNGSVILLE, LA 70592-6333
(337) 652-6591
Mailing address
1504 GUILLOT RD, YOUNGSVILLE, LA 70592-6333
(337) 652-6591
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/23/2026
Last updated
03/23/2026
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