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Search › California › 164X00000X

John Broussard, LVN

NPI 1023864618 · on the registry since 2024 · sole proprietor

Practice

Address
10089 Folsom Blvd Ste A
Rancho Cordova, CA 95670
Phone
(916) 366-6531
Organisation at this address
Folsom Street Medical And Mental Health Services Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
11

Registry record

Primary taxonomy
164X00000X
164X00000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2024-04-25

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