Individual
MR. ROBERT MICHAEL JEFFRIES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
C.O.
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
XA0007130
—
CA
Enumeration date
04/30/2007
Last updated
07/09/2007
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