Individual
MICHAEL BROUSSARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4267 FOX RIDGE DR, BATAVIA, OH 45103-2741
(513) 633-0938
Mailing address
4267 FOX RIDGE DR, BATAVIA, OH 45103-2741
(513) 633-0938
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
02/01/2024
Last updated
02/01/2024
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