Individual
CASANDRA DENISE JEFFERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3452 INWOOD CIR W, JACKSONVILLE, FL 32207-5518
(904) 955-9600
Mailing address
3452 INWOOD CIR W, JACKSONVILLE, FL 32207-5518
(904) 955-9600
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
J162104639020
FL
372600000X
Adult Companion
—
—
Other
Enumeration date
08/29/2025
Last updated
08/29/2025
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