Mrs Russell Roy Boersma, LPN | |
9501 Farrell Rd, Fort Belvoir, VA 22060-5901 | |
(703) 805-0599 | |
Not Available |
Full Name | Mrs Russell Roy Boersma |
---|---|
Gender | Male |
Speciality | Licensed Vocational Nurse |
Location | 9501 Farrell Rd, Fort Belvoir, Virginia |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1245221217 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
164X00000X | Licensed Vocational Nurse | 159452 (California) | Primary |
Mailing Address | Practice Location Address |
---|---|
Mrs Russell Roy Boersma, LPN 48 Tavern Rd, Stafford, VA 22554-8814 Ph: (540) 657-8750 | Mrs Russell Roy Boersma, LPN 9501 Farrell Rd, Fort Belvoir, VA 22060-5901 Ph: (703) 805-0599 |
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› Verified 7 days ago
Mrs. Deanna Michelle Owens, LVN Licensed Vocational Nurse Medicare: Not Enrolled in Medicare Practice Location: 9501 Farrell Rd, Fort Belvoir, VA 22060 Phone: 703-805-0599 |