Individual
PROF. CHARLESEY LISHELLE JEFFERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RKT
Contact information
Practice address
50 IRVING ST NW, WASHINGTON, DC 20422-0001
(202) 745-8000
Mailing address
10004 CRYSTAL PALACE LN APT 205, SPOTSYLVANIA, VA 22553-4470
(540) 898-8605
Taxonomy
Speciality
Code
Description
License number
State
226300000X
Kinesiotherapist
Primary
1626
VA
Other
Enumeration date
05/23/2007
Last updated
07/08/2007
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