Individual
KRISTEN SHERNELL JEFFERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
120 E BELLE ST, HENDERSON, NC 27536-4502
(252) 572-2933
Mailing address
120 E BELLE ST, HENDERSON, NC 27536-4502
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
11/25/2024
Last updated
11/25/2024
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