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Individual

MRS. YVETTE HARDY BROUSSARD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RNFA

Contact information

Practice address
5000 HENNESSY BLVD, BATON ROUGE, LA 70808-4367
(225) 765-6565
Mailing address
1513 BERWICK BND, ZACHARY, LA 70791-5445
(225) 454-3651

Taxonomy

Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
RN116986
LA

Other

Enumeration date
03/06/2019
Last updated
03/06/2019
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