Individual
GWEN-ELLEN E JEFFRIES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
130 SOUTHAMPTON RD, WESTFIELD, MA 01085-1370
(413) 568-6600
(413) 572-6840
Mailing address
30 KREYSSIG RD, BROAD BROOK, CT 06016-9619
(860) 983-3059
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LN96155
MA
Other
Enumeration date
09/01/2022
Last updated
09/01/2022
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