Individual
TAWANDA JEANNETTE JEFFCOAT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
225 FILBERT AVE, WILMINGTON, DE 19805-2549
(302) 543-3219
Mailing address
225 FILBERT AVE, WILMINGTON, DE 19805-2549
(302) 543-3219
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
46-3211044
DE
Other
Enumeration date
07/06/2015
Last updated
07/06/2015
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