KELLY BROUSSARD

SLIDELL, LA
NPI1538561048
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: LA  07870)
Enumeration Date2014-09-16
Last Update Date2016-02-24
Business Address
-- KELLY BROUSSARD
1700 LINDBERG DR
SLIDELL, LA 70458-8062
Phone number: 985-649-4063
Mailing Address
-- KELLY BROUSSARD
4664 PAINTERS ST
NEW ORLEANS, LA 70122-5002
Phone number: