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Individual

RACHEL MICHELE JEFFERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
8505 TAPESTRY CIR UNIT 204, LOUISVILLE, KY 40222-8373
(502) 439-4985
Mailing address
8505 TAPESTRY CIR UNIT 204, LOUISVILLE, KY 40222-8373
(502) 439-4985

Taxonomy

Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
305418
NATA MEMBER #
KY
Enumeration date
01/10/2022
Last updated
01/10/2022
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