Sonnie L Jefferson

NPI #1710288246 in Hansen, Idaho

Provider Information

NPI Number: 1710288246
Entity Type: Individual
Name: Sonnie L Jefferson
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Community Health Worker
Enumeration Date: Nov 15, 2010
Last Updated: Nov 15, 2010

Practice Location

Address: 409 1ST ST E
City: Hansen
State: Idaho
ZIP Code: 83334-4917
Phone: (208) 423-5779

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Health Worker	172V00000X	Primary

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