JUDD TANNER BROUSSARD

LAFAYETTE, LA
NPI1073612693
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: LA  AP04874)
Enumeration Date2006-09-21
Last Update Date2010-07-29
Business Address
-- JUDD TANNER BROUSSARD CRNA
1103 KALISTE SALOOM RD SUITE 304
LAFAYETTE, LA 70508-5783
Phone number: 337-988-5646
Mailing Address
-- JUDD TANNER BROUSSARD CRNA
1103 KALISTE SALOOM RD SUITE 304
LAFAYETTE, LA 70508-5783
Phone number: 337-988-5646
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