Shanika Broussard
Shanika Broussard is an Adult Companion in Bay Saint Louis, Mississippi. Licensed in Mississippi. Registered with an NPI since 2020.
- Licensed in
- MS
- In the registry since
- 2020
Practice location Address checks out
6163 E Lamar StBay Saint Louis, MS 39520-8267
Phone: (504) 908-5893
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Adult Companion (primary) | Taxonomy 372600000X (MS) |
|---|
Record details
| NPI number | 1265034516 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | November 11, 2020 |
| Last updated in NPPES | November 11, 2020 |
| Certification date | November 11, 2020 |