Individual
ASHLEY N JEFFERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, CLC
Contact information
Practice address
1201 S 18TH ST APT 1, RENTON, WA 98055-3560
(813) 244-7073
Mailing address
1201 S 18TH ST APT 1, RENTON, WA 98055-3560
(813) 244-7073
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN60745232
WA
Other
Enumeration date
07/22/2019
Last updated
07/22/2019
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