Individual
ADELE ELISE BROUSSARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
141 TWIN OAKS DR, RACELAND, LA 70394-2761
(985) 537-2666
Mailing address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-4000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
324301
LA
363AM0700X
Medical Physician Assistant
324301
LA
Other
Enumeration date
09/08/2020
Last updated
03/27/2024
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