Individual
JENNIFER BOSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
601 S. EDWIN C. MOSES BLVD, DAYTON, OH 45417
(937) 734-4310
Mailing address
PO BOX 932944, CLEVELAND, OH 44193-0027
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN.397144
OH
Other
Enumeration date
10/25/2022
Last updated
10/25/2022
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