Individual
MARY KATHERINE JEFFRIES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1533 BEECH GROVE RD., SUITE #6, ROSELAND, VA 22967
(434) 277-8322
Mailing address
PO BOX 214, ROSELAND, VA 22967
(434) 277-8322
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
0101051275
VA
208000000X
Pediatrics Physician
Primary
0101051275
VA
Other
Enumeration date
05/28/2008
Last updated
05/26/2011
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