SHANIKA BROUSSARD

specializing in adult companion in Gulfport, Mississippi

NPI: 1265034516

Provider Type

1

Practice Locations

Mailing Location

1110 COWAN RD.

SUITE B #2014

GULFPORT, MS 39507

📞 2282543037

📠 2283356029

Practice Location

6163 E LAMAR ST

BAY SAINT LOUIS, MS 39520

📞 5049085893

Provider Information

Gender:F
Sole Proprietor:No
Enumeration Date:11/11/2020
Last Updated:11/11/2020

Credentials

Primary Credential:
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