Individual
DENISE SUSANNE JEFFERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
1838 BICKNAL FLATS RD, ROCK, WV 24747-9210
(304) 467-9958
Mailing address
1838 BICKNAL FLATS RD, ROCK, WV 24747-9210
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
06/18/2025
Last updated
06/18/2025
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