DEBORAH SUE BORG

WEST HOLLYWOOD, CA
NPI1528428273
Former NameDEBORAH SUE MACUICH
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: CA  95010448)
Additional Taxonomies363L00000X Nurse Practitioner
(Licence: OH  COA.18846-NP)
Enumeration Date2016-02-23
Last Update Date2020-09-16
Business Address
DEBORAH SUE BORG CNP
8700 BEVERLY BLVD
WEST HOLLYWOOD, CA 90048-1804
Phone number: 310-423-5000
Mailing Address
DEBORAH SUE BORG CNP
4140 W 190TH ST
TORRANCE, CA 90504-5513
Phone number: 310-423-5000