Individual
MS. CAROLANN JEFFRIES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
3834 S WESTERN AVE, LOS ANGELES, CA 90062-1104
(323) 730-1970
Mailing address
3834 S WESTERN AVE, LOS ANGELES, CA 90062-1104
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
085-001779
IL
363A00000X
Physician Assistant
Primary
PA17721
CA
363AM0700X
Medical Physician Assistant
PA17721
CA
Other
Enumeration date
10/12/2006
Last updated
03/17/2017
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