SANDRA LEE BROMMELAND GONZALEZ

THIBODAUX, LA
NPI1053428342
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: LA  AP 5139)
Enumeration Date2006-08-24
Last Update Date2015-01-27
Business Address
Ms. SANDRA LEE BROMMELAND GONZALEZ APRN-BC
1101 AUDUBON AVE
THIBODAUX, LA 70301-4957
Phone number: 985-857-3615
Mailing Address
Ms. SANDRA LEE BROMMELAND GONZALEZ APRN-BC
929 BAYOU DULARGE RD
HOUMA, LA 70363-7614
Phone number: 985-872-3550