Individual
MS. JENNIFER LEE JEFFERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
817 COFFEE RD STE D, MODESTO, CA 95355-4241
(209) 527-6100
Mailing address
817 COFFEE RD STE D, MODESTO, CA 95355-4241
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
26430
CA
Other
Enumeration date
02/19/2013
Last updated
02/19/2013
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