Individual
KEIONIA R JEFFERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PATIENTCARE ASSISTAT
Contact information
Practice address
10 GREENWOOD ST UNIT C, BOSTON, MA 02121-3719
(617) 888-5921
Mailing address
10 GREENWOOD ST UNIT C, DORCHESTER, MA 02121-3719
(617) 888-5921
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
$$$$$$$$$
MA
Other
Enumeration date
10/23/2023
Last updated
10/23/2023
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