BRENDA A BROUSSARD

ALBUQUERQUE, NM
NPI1962628156
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy133VN1006X Dietitian, Registered, Nutrition, Metabolic
(Licence: NM  036)
Enumeration Date2007-04-17
Last Update Date2007-07-08
Business Address
Ms. BRENDA A BROUSSARD RD, CDE, BC-ADM
PRESBYTERIAN FAMILY PRACTICE MEDICAL GROUP 3901 ATRISCO
ALBUQUERQUE, NM 87120
Phone number: 505-462-7575
Mailing Address
Ms. BRENDA A BROUSSARD RD, CDE, BC-ADM
18 BERM ST NW
ALBUQUERQUE, NM 87120-1822
Phone number: 505-792-0065
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