Individual
MS. DEBORAH BORAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
648 E 21ST ST, LOS ANGELES, CA 90011-1146
(213) 749-7110
(213) 749-2749
Mailing address
13416 HARTLAND ST, VAN NUYS, CA 91405-4317
(818) 764-7678
(213) 749-2749
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
14055
CA
Other
Enumeration date
12/04/2007
Last updated
10/24/2018
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