Individual
MS. MAGAN BROUSSARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
715B WELDON ST, NEW IBERIA, LA 70560-4861
(337) 373-0021
(337) 364-4897
Mailing address
715B WELDON ST, NEW IBERIA, LA 70560-4861
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
RN134491
LA
Other
Enumeration date
02/24/2017
Last updated
02/24/2017
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