Individual
EBONY L JEFFERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
602 W SEMANDS ST, CONROE, TX 77301-1867
(936) 756-5598
Mailing address
602 W SEMANDS ST, CONROE, TX 77301-1867
(936) 756-5598
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
Primary
974102
TX
Other
Enumeration date
07/29/2019
Last updated
07/29/2019
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