BORIS G KOUANANG

LIVINGSTON, NJ
NPI1154086643
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: NJ  26NJ01224000)
Enumeration Date2021-11-01
Last Update Date2021-11-01
Business Address
BORIS G KOUANANG CRNA
94 OLD SHORT HILLS RD STE 1
LIVINGSTON, NJ 07039-5668
Phone number: 973-322-5000
Mailing Address
BORIS G KOUANANG CRNA
200 BOYDEN AVE APT 374
MAPLEWOOD, NJ 07040-2685
Phone number: 609-218-7884