Individual
KORI JEFFRIES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC, LAT
Contact information
Practice address
8625 DOLLHOUSE DR, LAS VEGAS, NV 89145-4839
(702) 696-8770
Mailing address
8625 DOLLHOUSE DR, LAS VEGAS, NV 89145-4839
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
0506394
NV
Other
Enumeration date
10/14/2016
Last updated
10/14/2016
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