MS. Sierra Nicole Jefferson

NPI #1982481131 in Detroit, Michigan

Provider Information

NPI Number: 1982481131
Entity Type: Individual
Name: MS. Sierra Nicole Jefferson
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Enumeration Date: Sep 12, 2023
Last Updated: Sep 12, 2023

Practice Location

Address: 18966 ROSEMONT AVE
City: Detroit
State: Michigan
ZIP Code: 48219-2935
Phone: (313) 820-1895

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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