GINA LEISHA BROUSSARD

MERCED, CA
NPI1023564812
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: CA  565760)
Enumeration Date2016-08-31
Last Update Date2024-08-09
Business Address
Ms. GINA LEISHA BROUSSARD FNP
3349 G ST STE F
MERCED, CA 95340-0978
Phone number: 209-349-8459
Mailing Address
Ms. GINA LEISHA BROUSSARD FNP
1154 GRANITE CT
MERCED, CA 95340-0675
Phone number: 209-628-9204