Individual
VICKI L. JEFFERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4339 BREEZEWOOD AVE, DAYTON, OH 45406-1315
(937) 554-8987
Mailing address
4339 BREEZEWOOD AVE, DAYTON, OH 45406-1315
(937) 554-8987
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
FNU1122
OH
172A00000X
Driver
—
OH
172A00000X
Driver
Primary
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
Other
Enumeration date
03/13/2025
Last updated
03/13/2025
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