Individual
MR. JACOB NICHOLAS MUSTAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
444 N MAIN ST, AKRON, OH 44310-3110
(330) 762-2262
Mailing address
7640 MEADOW BROOKE WAY, NORTHFIELD, OH 44067-4004
(330) 998-4387
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
382581
OH
367500000X
Certified Registered Nurse Anesthetist
Primary
0020235
OH
Other
Enumeration date
10/14/2020
Last updated
02/24/2021
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