Search › California › 103T00000X
Dominique Broussard
NPI 1407431224 · on the registry since 2021 · sole proprietor
Practice
- Address
- 2130 Fulton St.
San Francisco, CA 94117 - Phone
- (510) 610-9599
- Organisation at this address
- University Of San Francisco
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 33
Registry record
- Primary taxonomy
- 103T00000X
103T00000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-03-12
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