JACOB D BOSTON

RICHLAND, WA
NPI1558035527
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: WA  AP61201940)
Additional Taxonomies163W00000X Registered Nurse
(Licence: KS  149114)
Enumeration Date2021-08-04
Last Update Date2022-01-25
Business Address
JACOB D BOSTON CRNA
888 SWIFT BLVD
RICHLAND, WA 99352-3583
Phone number: 770-643-5619
Mailing Address
JACOB D BOSTON CRNA
324 N EMPORIA AVE APT 611
WICHITA, KS 67202-2554
Phone number: 503-516-8419