Individual
JARED W SWAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-S
Contact information
Practice address
7 KIMBALL ST APT 20, LEBANON, NH 03766-1736
(219) 898-9313
Mailing address
7 KIMBALL ST APT 20, LEBANON, NH 03766-1736
(219) 898-9313
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
01/02/2020
Last updated
01/02/2020
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