Individual
MONIQUE BROUSSARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Credential
PA
Contact information
Practice address
1514 JEFFERSON HWY, JEFFERSON, LA 70121-2429
(504) 842-3000
Mailing address
214 PORTSMOUTH DR, BROUSSARD, LA 70518-3539
(337) 504-9439
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
04/03/2025
Last updated
04/03/2025
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