Individual
IVONNE C BORJON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, PHN
Contact information
Practice address
415 HUMBOLDT ST, SANTA ROSA, CA 95404-4214
(707) 657-9464
Mailing address
415 HUMBOLDT ST, SANTA ROSA, CA 95404-4214
(707) 657-9464
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
95187358
CA
163WC1500X
Community Health Registered Nurse
563151
CA
Other
Enumeration date
12/01/2023
Last updated
12/01/2023
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