Individual
JAIME BROUSSEAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3101 NASA PKWY STE B, SEABROOK, TX 77586-6475
(832) 868-1909
Mailing address
3101 NASA PKWY STE B, SEABROOK, TX 77586-6475
(832) 868-1909
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
782684
TX
Other
Enumeration date
01/08/2020
Last updated
01/08/2020
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