Individual
MRS. AMY L BROUSSARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CST, CSFA
Contact information
Practice address
1117 EIGHTH ST, LAKE ARTHUR, LA 70549-3401
(337) 501-9813
Mailing address
PO BOX 396, LAKE ARTHUR, LA 70549-0396
(337) 501-9813
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
—
—
Other
Enumeration date
06/20/2014
Last updated
06/20/2014
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