Individual
GERVONNE JEFFERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8205 S PRIEST DR UNIT 12021, TEMPE, AZ 85284-0154
(313) 848-7384
Mailing address
8205 S PRIEST DR UNIT 12021, TEMPE, AZ 85284-0154
(313) 848-7384
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
—
Other
Enumeration date
04/03/2025
Last updated
04/03/2025
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