Individual
MR. JAY MICHAEL WILES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
REGISTERED NURSE
Contact information
Practice address
306 MAPLEWOOD RD, WEST SUNBURY, PA 16061-1512
(724) 290-5285
Mailing address
306 MAPLEWOOD RD, WEST SUNBURY, PA 16061-1512
(724) 894-2449
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN667050
PA
Other
Enumeration date
03/22/2019
Last updated
03/22/2019
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