Individual
KIMBERLY EPPERLY BROUSSARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
12269 LA HWY 699, MAURICE, LA 70555-3604
(337) 658-9188
(337) 658-9188
Mailing address
12269 LA HWY 699, MAURICE, LA 70555-3604
(337) 658-9188
(337) 658-9188
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1022530
—
Other
Enumeration date
02/28/2025
Last updated
02/28/2025
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