Search › California › 101YM0800X
John Broussard
NPI 1013271196 · on the registry since 2012 · sole proprietor
Practice
- Address
- 2711 Edgewood Dr
Placerville, CA 95667 - Phone
- (530) 306-1816
Registry record
- Primary taxonomy
- 101YM0800X
101YM0800X
- Sex
- Male
- Record last updated
- 2012-07-03
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California