JACLYN M JOHANBOEKE

LOUISVILLE, KY
NPI1508176058
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: KY  1107361)
Enumeration Date2010-10-18
Last Update Date2012-03-31
Business Address
-- JACLYN M JOHANBOEKE CRNA
10207 SPRINGHURST GARDENS CIR
LOUISVILLE, KY 40241-5194
Phone number: 502-548-3117
Mailing Address
-- JACLYN M JOHANBOEKE CRNA
10207 SPRINGHURST GARDENS CIR
LOUISVILLE, KY 40241-5194
Phone number: