Individual
BRANDY LEE JEFFERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
333 SMITH AVE N, SAINT PAUL, MN 55102-2344
(651) 262-9000
Mailing address
10839 HAYES DR, BURNSVILLE, MN 55337-1057
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R1747294
MN
Other
Enumeration date
09/21/2012
Last updated
09/21/2012
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