Individual
MR. MAURICE JAMAL JEFFERSON SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
542 COLUMBIA ST APT 3, SHREVEPORT, LA 71104-3260
(318) 458-8045
Mailing address
542 COLUMBIA ST APT 3, SHREVEPORT, LA 71104-3260
(318) 458-8045
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
—
—
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
08/24/2020
Last updated
08/24/2020
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