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Individual

JARED MICHAEL LEATHERMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
R.N.

Contact information

Practice address
1710 UNDERPASS WAY STE 300, HAGERSTOWN, MD 21740-8158
(301) 791-6360
(240) 420-5610
Mailing address
PO BOX 4504, HAGERSTOWN, MD 21742-0504

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R227428
MD

Other

Enumeration date
04/02/2026
Last updated
05/06/2026
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