Individual
KATHERINE JEFFERIES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
800 W MAIN ST, WHITEWATER, WI 53190-1790
(262) 472-1300
Mailing address
949 PARKWOOD LN, JEFFERSON, WI 53549-3003
(608) 343-9343
Taxonomy
Speciality
Code
Description
License number
State
163WC1400X
College Health Registered Nurse
Primary
173504
WI
Other
Enumeration date
11/21/2019
Last updated
11/21/2019
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