Individual
JEFFREY ROYAL DEEMER-WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
935 MAIN ST, DELAFIELD, WI 53018-1613
(262) 646-3361
Mailing address
4912 WOODFIELD CT APT 7, NASHOTAH, WI 53058-9661
(262) 646-3361
Taxonomy
Speciality
Code
Description
License number
State
374T00000X
Religious Nonmedical Nursing Personnel
Primary
—
—
Other
Enumeration date
08/17/2017
Last updated
08/17/2017
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