Shanika Broussard
NPI #1265034516 in Bay Saint Louis, Mississippi
Provider Information
- NPI Number
- 1265034516
- Entity Type
- Individual
- Name
- Shanika Broussard
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Adult Companion
- Enumeration Date
- Nov 11, 2020
- Last Updated
- Nov 11, 2020
Practice Location
- Address
- 6163 E LAMAR ST
- City
- Bay Saint Louis
- State
- Mississippi
- ZIP Code
- 39520-8267
- Phone
- (504) 908-5893
Specialties & Taxonomy Codes
| Specialty |
|---|
| Adult Companion |
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