Individual
JORDAN IRENE JEFFCOAT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
21810 76TH AVE W STE 101, EDMONDS, WA 98026-7917
(425) 774-3710
Mailing address
7510 144TH ST NW, GIG HARBOR, WA 98329-8701
(253) 948-6834
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
61109132
WA
Other
Enumeration date
05/09/2021
Last updated
05/09/2021
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