Individual
KECHIA JEFFERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
20323 COLDWATER MEADOW LN, HUMBLE, TX 77338-2817
(346) 203-0297
Mailing address
20323 COLDWATER MEADOW LN, HUMBLE, TX 77338-2817
(346) 203-0297
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
197575
TX
Other
Enumeration date
10/16/2020
Last updated
10/16/2020
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