PRESTON BROUSSARD

LAFAYETTE, LA
NPI1801610803
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy343900000X Non-emergency Medical Transport (VAN)
Enumeration Date2024-11-14
Last Update Date2024-11-14
Business Address
PRESTON BROUSSARD
207 PERSIMMON PL
LAFAYETTE, LA 70507-3709
Phone number: 337-356-7626
Mailing Address
PRESTON BROUSSARD
207 PERSIMMON PL
LAFAYETTE, LA 70507-3709
Phone number: 337-356-7626