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Preston Broussard
NPI 1801610803 · on the registry since 2024 · sole proprietor
Practice
- Address
- 207 Persimmon Pl
Lafayette, LA 70507 - Phone
- (337) 356-7626
- Organisation at this address
- Kingdom Transportation Logistics Llc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 343900000X
343900000X
- Sex
- Male
- Record last updated
- 2024-11-14
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 Louisiana