Individual
VIRIDIANA CHELSEA JEFFERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6100 PAN AMERICAN FWY, ALBUQUERQUE, NM 87109
(505) 823-8282
Mailing address
9100 PAN AMERICAN FWY NE, ALBUQUERQUE, NM 87113-2144
(505) 823-8282
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
11/08/2021
Last updated
11/03/2023
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