JODI K BROUSSARD

LAFAYETTE, LA
NPI1821361015
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy133V00000X Dietitian, Registered
(Licence: LA  1843)
Enumeration Date2012-02-17
Last Update Date2012-02-17
Business Address
-- JODI K BROUSSARD R.D.
2390 W CONGRESS ST
LAFAYETTE, LA 70506-4205
Phone number: 337-261-6113
Mailing Address
-- JODI K BROUSSARD R.D.
2390 W CONGRESS ST
LAFAYETTE, LA 70506-4205
Phone number: 337-261-6113