Individual
MARY JEFFERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4500 FORT TOTTEN DR NE APT 3, WASHINGTON, DC 20011-7525
(202) 832-8194
Mailing address
4500 FORT TOTTEN DR NE APT 3, WASHINGTON, DC 20011-7525
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
04/28/2017
Last updated
04/28/2017
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