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Susan Boelens

NPI 1588333942 · on the registry since 2021 · sole proprietor

Practice

Address
16636 Portage St
Justin, TX 76247
Phone
(916) 792-1359

Registry record

Primary taxonomy
106H00000X
106H00000X
Also registered as
101YA0400X
Licence states on file
TX
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-06-20

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas