Individual
MAARTEN W BORGHANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2807 3RD ST APT 4, SANTA MONICA, CA 90405-4136
(310) 403-9508
Mailing address
2807 3RD ST APT 4, SANTA MONICA, CA 90405-4136
(310) 403-9508
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
0G20789
CA
Other
Enumeration date
06/24/2009
Last updated
06/24/2009
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