Individual
JOLENE JEFFERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4205 SANDSTONE DR, CLOVIS, NM 88101-1044
(505) 974-7392
Mailing address
4205 SANDSTONE DR, CLOVIS, NM 88101-1044
(505) 974-7392
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/21/2019
Last updated
05/21/2019
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