Individual
JACOB JAMES HERRON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
255 ROUTE 220 HWY, MUNCY, PA 17756-7568
(570) 308-2572
Mailing address
255 ROUTE 220 HWY, MUNCY, PA 17756-7568
(570) 308-2572
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA063436
PA
Other
Enumeration date
04/18/2022
Last updated
03/24/2024
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