Dairra Anise Boss

NPI #1619298288 in Warren, Ohio

Provider Information

NPI Number
1619298288
Entity Type
Individual
Name
Dairra Anise Boss
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Licensed Practical Nurse
Enumeration Date
Jun 18, 2010
Last Updated
Jun 18, 2010

Practice Location

Address
3373 DUNSTAN DR NW
City
Warren
State
Ohio
ZIP Code
44485-1526
Phone
(330) 321-9148

Specialties & Taxonomy Codes

Specialty
Licensed Practical Nurse

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