Mr. Sidney Broussard III
Mr. Sidney Broussard III is a Non-emergency Medical Transport (VAN) in Palmdale, California. Practices as a sole proprietor. Registered with an NPI since 2022.
- In the registry since
- 2022
Practice location Address checks out
1008 W Avenue M14 Ste AD383Palmdale, CA 93551-1441
Phone: (661) 510-6524
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Non-emergency Medical Transport (VAN) (primary) | Taxonomy 343900000X |
|---|
Record details
| NPI number | 1639814205 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | April 28, 2022 |
| Last updated in NPPES | April 29, 2022 |
| Certification date | April 29, 2022 |
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