Individual
MRS. EDNA FAYE JEFFERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
617 W COLTON AVE, NORTH LAS VEGAS, NV 89032-8230
(702) 657-5977
(702) 410-3435
Mailing address
617 W COLTON AVE, NORTH LAS VEGAS, NV 89032-8230
(702) 657-5977
(702) 410-3435
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
07/03/2013
Last updated
07/10/2013
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