Individual
SUSAN MARIE BORST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
300 SW 7TH STREET, NONE, RENTON, WA 98057
(425) 204-2422
Mailing address
16426 128TH AVE SE, RENTON, WA 98058-5534
(425) 204-3204
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
RN00076188
WA
Other
Enumeration date
06/14/2018
Last updated
06/14/2018
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