Individual
JARUS DAHLBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
830 WASHINGTON ST, WATERTOWN, NY 13601-4034
(315) 785-8509
Mailing address
830 WASHINGTON ST, WATERTOWN, NY 13601-4034
(315) 785-8509
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
22 687314
NY
Other
Enumeration date
07/18/2014
Last updated
07/18/2014
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