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Individual

LERISSA DEANN SANDERS-JEFFERSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2122 WINTER BAY LN, HOUSTON, TX 77088-3330
(832) 896-1779
Mailing address
2122 WINTER BAY LN, HOUSTON, TX 77088-3330
(832) 896-1779

Taxonomy

Speciality
Code
Description
License number
State
171WV0202X
Vehicle Modifications Contractor
Primary
CWW2151
TX

Other

Enumeration date
02/27/2025
Last updated
02/27/2025
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