Tiffany Versa Lynn Broussard

NPI #1073152971 in Marrero, Louisiana

Provider Information

NPI Number
1073152971
Entity Type
Individual
Name
Tiffany Versa Lynn Broussard
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Case Manager/Care Coordinator
Enumeration Date
Dec 26, 2019
Last Updated
Dec 26, 2019

Practice Location

Address
7606 WESTBANK EXPY STE B
ZIP Code
70072-2304
Phone
(504) 265-0801

Specialties & Taxonomy Codes

Specialty
Case Manager/Care Coordinator

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