Marie Jefferson

NPI #1457566713 in Modena, New York

Provider Information

NPI Number
1457566713
Entity Type
Individual
Name
Marie Jefferson
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Licensed Practical Nurse
Enumeration Date
May 11, 2007
Last Updated
Jul 9, 2007

Practice Location

Address
2139 STATE ROUTE 32
City
Modena
ZIP Code
12548-5213
Phone
(845) 883-4227

Specialties & Taxonomy Codes

Specialty
Licensed Practical Nurse

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