Individual
MR. JACOB SLITER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.N.
Contact information
Practice address
1061 HARMON AVE, FORT STEWART, GA 31314-5641
(717) 203-4178
Mailing address
1061 HARMON AVE, FORT STEWART, GA 31314-5641
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
RN633891
PA
Other
Enumeration date
04/21/2015
Last updated
04/21/2015
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