Individual
JAYSON MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
338 ELDRED ST, WILLIAMSPORT, PA 17701-2305
(570) 971-5153
Mailing address
338 ELDRED ST, WILLIAMSPORT, PA 17701-2305
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN589568
PA
Other
Enumeration date
06/04/2014
Last updated
06/15/2021
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