Individual
RAUSHANAH TAHERRAH SHAREEF-JEFFERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH, IBCLC
Contact information
Practice address
831 RIDGECREST RD, GRAND PRAIRIE, TX 75052
(972) 795-7422
Mailing address
831 RIDGECREST RD, GRAND PRAIRIE, TX 75052
(972) 795-7422
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
13480
TX
174N00000X
Lactation Consultant (Non-RN)
L-108268
—
Other
Enumeration date
04/01/2019
Last updated
04/01/2019
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