ELLEN MARIE BOERSMA

LAKEPORT, CA
NPI1265684633
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: CA  18609)
Enumeration Date2008-10-16
Last Update Date2008-10-16
Business Address
-- ELLEN MARIE BOERSMA NP
5150 HILL RD E #F
LAKEPORT, CA 95453-5101
Phone number: 707-262-3060
Mailing Address
-- ELLEN MARIE BOERSMA NP
5150 HILL RD E #F
LAKEPORT, CA 95453-5101
Phone number: 707-262-3060