Individual
KIM MARIE JETER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1630 W MARKET ST, YORK, PA 17404-5417
(717) 495-5792
Mailing address
824 OLD TAXVILLE RD, YORK, PA 17404-4800
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
Primary
—
—
Other
Enumeration date
09/06/2021
Last updated
09/06/2021
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