Individual
REGINA ELAINE JEFFERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5703 RYEWYCK DR APT 1, TOLEDO, OH 43614-4554
(419) 450-4899
Mailing address
5703 RYEWYCK DR APT 1, TOLEDO, OH 43614-4554
(419) 450-4899
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
374700000X
Technician
Primary
—
—
Other
Enumeration date
06/25/2025
Last updated
03/23/2026
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