Individual
JACOB RUSSELL GARCIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.N
Contact information
Practice address
725 ALBANY ST, BOSTON, MA 02118-3549
(617) 638-8000
Mailing address
410 SARATOGA ST, EAST BOSTON, MA 02128-4763
(617) 870-1848
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN2364647
MA
Other
Enumeration date
05/19/2023
Last updated
05/19/2023
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