Individual
CIERRA JEFFERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8712 GILLY WAY, RANDALLSTOWN, MD 21133-5310
(667) 273-9933
Mailing address
8712 GILLY WAY, RANDALLSTOWN, MD 21133-5310
(667) 273-9933
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
NRSA-00117
MD
Other
Enumeration date
05/03/2024
Last updated
05/03/2024
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