Individual
SHANDA L JEFFERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
816 BAXTER DR, PLANO, TX 75025-2583
(972) 363-4185
Mailing address
816 BAXTER DR, PLANO, TX 75025-2583
(972) 363-4185
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
Primary
—
—
Other
Enumeration date
10/27/2021
Last updated
10/27/2021
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