Individual
ASONYA JEFFERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1 GENIUM PLZ, SCHENECTADY, NY 12304-4607
(518) 257-2686
Mailing address
1 GENIUM PLZ, SCHENECTADY, NY 12304-4607
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
341271
NY
Other
Enumeration date
11/04/2021
Last updated
11/04/2021
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