Individual
MRS. LAVERNE BROUSSARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4300 S. I-10 SERVICE RD, STE 101B, METAIRIE, LA 70001-7420
(504) 606-8738
(504) 304-4799
Mailing address
424 HOLMES BLVD, TERRYTOWN, LA 70056-2747
(504) 606-8738
Taxonomy
Speciality
Code
Description
License number
State
173C00000X
Reflexologist
Primary
—
FL
225700000X
Massage Therapist
4320
LA
Other
Enumeration date
04/27/2010
Last updated
04/27/2010
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