Individual
HANNAH BROUSSARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
608 N AVENUE K, CROWLEY, LA 70526-4514
(337) 788-0677
Mailing address
2668 MAIN HWY, BREAUX BRIDGE, LA 70517-6638
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7300
LA
Other
Enumeration date
06/06/2022
Last updated
06/06/2022
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