Individual
HOLLY JUNE JEFFREY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.P.N.
Contact information
Practice address
1850 MANOR WAY, DELAND, FL 32720-6912
(386) 801-0893
Mailing address
1850 MANOR WAY, DELAND, FL 32720-6912
(386) 801-0893
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN469741
FL
Other
Enumeration date
02/10/2012
Last updated
02/10/2012
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