John Adam Broussard JR., LVN
NPI #1023864618 in Rancho Cordova, California
Provider Information
- NPI Number
- 1023864618
- Entity Type
- Individual
- Name
- John Adam Broussard JR., LVN
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Licensed Vocational Nurse
- Credential
- LVN
- Enumeration Date
- Apr 25, 2024
- Last Updated
- Apr 25, 2024
Practice Location
- Address
- 10089 FOLSOM BLVD STE A
- City
- Rancho Cordova
- State
- California
- ZIP Code
- 95670-1935
- Phone
- (916) 366-6531
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Vocational Nurse |
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