MS. Victoria Lynn Broussard, LPT
NPI #1770624090 in Baldwin Park, California
Provider Information
- NPI Number
- 1770624090
- Entity Type
- Individual
- Name
- MS. Victoria Lynn Broussard, LPT
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Licensed Psychiatric Technician
- Credential
- LPT
- Enumeration Date
- Feb 9, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 4600 BRESEE AVE
- City
- Baldwin Park
- State
- California
- ZIP Code
- 91706-2414
- Phone
- (626) 337-0747
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Psychiatric Technician |
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