Individual
VALERIE C JEFFERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
745 JOHN ST, ROCKFORD, IL 61103-6158
(815) 566-6536
Mailing address
745 JOHN ST, ROCKFORD, IL 61103
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
12/16/2009
Last updated
12/16/2009
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