RUSSELL ROY BOERSMA

FORT BELVOIR, VA
NPI1245221217
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy164X00000X Licensed Vocational Nurse
(Licence: CA  159452)
Enumeration Date2005-10-31
Last Update Date2007-07-08
Business Address
Mrs. RUSSELL ROY BOERSMA LPN
9501 FARRELL RD
FORT BELVOIR, VA 22060-5901
Phone number: 703-805-0599
Mailing Address
Mrs. RUSSELL ROY BOERSMA LPN
48 TAVERN RD
STAFFORD, VA 22554-8814
Phone number: 540-657-8750
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