Jose Balboa Blanco, SURGICAL ASSISTANT

NPI #1902252125 in Mokena, Illinois

Provider Information

NPI Number
1902252125
Entity Type
Individual
Name
Jose Balboa Blanco, SURGICAL ASSISTANT
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Physician Assistant - Surgical
Credential
SURGICAL ASSISTANT
Enumeration Date
May 6, 2016
Last Updated
Jun 7, 2025

Practice Location

Address
18761 CHESTNUT CT
City
Mokena
ZIP Code
60448-9501
Phone
(786) 296-5425

Specialties & Taxonomy Codes

Specialty
Specialist/Technologist, Other - Surgical AssistantSurgical Assistant
Physician Assistant - SurgicalSurgical

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