person
Libertie Broussard, MD,MHS
Student in an Organized Health Care Education/Training Program in Baltimore, Maryland
NPI 1164272522

Libertie Broussard is a Student in an Organized Health Care Education/Training Program based in Baltimore, MD. Libertie Broussard practices in Baltimore, MD and has the professional credentials of MD,MHS. The NPI Number for Libertie Broussard is 1164272522 and holds a License No. (Maryland).

The current practice location address for Libertie Broussard is 201 E University Pkwy Dept Of, Baltimore, MD and can be reached out via phone at 410-554-2284 and via fax at 410-554-2184.

Location: 201 E University Pkwy Dept Of, Baltimore, MD, 21218-2829
person
Provider Profile Details
NPI Number
1164272522
Provider Name
Libertie Broussard
Credential
MD,MHS
Provider Entity Type
Individual
Gender
Female
Address
201 E University Pkwy Dept Of, Baltimore, MD, 21218-2829
Phone Number
410-554-2284
Fax Number
410-554-2184
Provider Enumeration Date
03/26/2024
Last Update Date
04/14/2024
institution
Provider Business Practice Location Address Details
Address
201 E University Pkwy Dept Of
City
State
Zip
21218-2829
Phone Number
410-554-2284
Fax Number
410-554-2184
person
Provider Business Mailing Address Details
Address
201 E University Pkwy Dept Of
City
State
Zip
21218-2829
Phone Number
410-554-2284
Fax Number
410-554-2184
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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