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Individual

MRS. TRICIA LYNN JEFFERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RD

Contact information

Practice address
2915 BODINE DR, WILMINGTON, DE 19810-2246
(302) 420-0824
(302) 250-4895
Mailing address
2915 BODINE DR, WILMINGTON, DE 19810-2246
(302) 420-0824
(302) 250-4895

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
DN0000273
DE
133V00000X
Registered Dietitian
Primary
DT89497
TX
174H00000X
Health Educator

Other

Enumeration date
03/11/2019
Last updated
01/30/2024
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