Individual
MRS. ELLEN THERESA BORISH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
532 CRANBROOK DR, FT WORTH, TX 76131-4235
(817) 320-8140
Mailing address
532 CRANBROOK DR, FT WORTH, TX 76131-4235
(817) 320-8140
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
183841
TX
Other
Enumeration date
03/15/2018
Last updated
03/15/2018
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