Individual
JACOB ANTHONY BOVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8378 FOUR SEASONS TRL, POLAND, OH 44514-2861
(234) 855-5178
Mailing address
8378 FOUR SEASONS TRL, POLAND, OH 44514-2861
(234) 855-5178
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
RN10891
OH
Other
Enumeration date
06/15/2023
Last updated
06/15/2023
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