Individual
MR. TEAUBIAS HAROLD BOESCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.N., F.A.
Contact information
Practice address
336 E JANICE ST, LONG BEACH, CA 90805-2913
(562) 209-7557
Mailing address
336 E JANICE ST, LONG BEACH, CA 90805-2913
(562) 209-7557
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
630269
CA
Other
Enumeration date
05/21/2007
Last updated
07/08/2007
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