Individual
VALENTINE JAKOVLEVS JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1200 OLD YORK RD, ABINGTON, PA 19001-3720
(215) 481-2000
Mailing address
PO BOX 8500-5365, PHILADELPHIA, PA 19178-0001
(888) 554-4121
(201) 804-8883
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN552918
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN552918
STATE
PA
Enumeration date
12/10/2008
Last updated
12/10/2008
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