Individual
JACOB OATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
1 BOSTON PL, BOSTON, MA 02108-4407
(443) 850-4558
Mailing address
801 E 34TH ST, BALTIMORE, MD 21218-2911
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R224314
MD
163WM0705X
Medical-Surgical Registered Nurse
R224314
MD
Other
Enumeration date
11/01/2021
Last updated
11/01/2021
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