License holder summary

Broussard Nichole Marie is a Medical licensed to practice in Louisiana. The address on file for Broussard Nichole Marie is Michael K. Judice, 4630 Ambassador Caffery Pkwy.; Ste. 102, Lafayette, LA 70508.

Louisiana

Board of Licensing

Broussard Nichole Marie
Medical
License number
CLP.203575-LAB
Date expires
12/31/2014
Class
Medical
Status
Active
Address
Michael K. Judice, 4630 Ambassador Caffery Pkwy.; Ste. 102, Lafayette, LA 70508
louisianalicensing.com
ID 21822081
LAST UPDATED 2024-03-19 15:12:04 UTC

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