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Organization

U.S. AIR FORCE

Active
Other names
DFAS
Organization subpart
No

Provider details

NPI number
Authorized official
DR. RACHEL ANNE BROUSSARD DNP (PMHNP)
(301) 633-9503
Entity
Organization

Contact information

Practice address
2323 JULIAN LN, FAIRFIELD, CA 94534-3131
(301) 633-9503
Mailing address
2323 JULIAN LN, FAIRFIELD, CA 94534-3131
(301) 633-9503

Taxonomy

Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
R190890
MD

Other

Enumeration date
11/19/2016
Last updated
11/19/2016
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