Individual
MISS KRYSTAL E JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MT-BC
Contact information
Practice address
4601 LOCUST LN, SUITE 202, HARRISBURG, PA 17109-4444
(717) 526-2111
(717) 526-2111
Mailing address
4601 LOCUST LN, SUITE 202, HARRISBURG, PA 17109-4444
(717) 526-2111
(717) 526-2111
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
08859
—
Other
Enumeration date
02/17/2009
Last updated
02/17/2009
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