Individual
CARLA MICHELLE BOREM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
11500 PARAMOUNT BLVD, DOWNEY, CA 90241-4530
(562) 923-4545
Mailing address
210 ALBATROSS LN, FOUNTAIN VALLEY, CA 92708-5803
(562) 231-8580
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
692201
CA
Other
Enumeration date
04/30/2025
Last updated
04/30/2025
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