Individual
AMY JEFFERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5938 MARATHON EDENTON RD, WILLIAMSBURG, OH 45176-8225
(513) 403-7810
Mailing address
5938 MARATHON EDENTON RD, WILLIAMSBURG, OH 45176-8225
(513) 403-7810
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3151619
MEDICAID PROVIDER NUMBER
OH
Enumeration date
09/03/2014
Last updated
09/03/2014
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