Individual
RACHEL BROUSSARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CSA
Contact information
Practice address
19343 SUNSHINE AVE, COVINGTON, LA 70433-5160
(985) 892-5117
(985) 898-5932
Mailing address
301 E 7TH AVE, COVINGTON, LA 70433-4119
(337) 298-8308
Taxonomy
Speciality
Code
Description
License number
State
246ZX2200X
Orthopedic Assistant
Primary
—
—
Other
Enumeration date
04/10/2018
Last updated
04/10/2018
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