Individual
REBECCA DAVIES JEFFERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
340 N MAIN ST, SOUTHINGTON, CT 06489-2529
(860) 628-5767
Mailing address
340 N MAIN ST, SOUTHINGTON, CT 06489-2529
(860) 628-5767
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
000426
CT
Other
Enumeration date
04/12/2007
Last updated
07/08/2007
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