Individual
MICKI JEFFUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3019 BRAMBLE OAKS CT, BEDFORD, TX 76021-3426
(214) 476-5918
Mailing address
3019 BRAMBLE OAKS CT, BEDFORD, TX 76021-3426
(214) 476-5918
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
08/01/2016
Last updated
08/01/2016
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