Individual
REGINA JEFFERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4979 TWIN WOODS DR, TROTWOOD, OH 45426-2027
(937) 626-9779
Mailing address
4979 TWIN WOODS DR, TROTWOOD, OH 45426-2027
(937) 626-9779
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
OH
Other
Enumeration date
10/14/2020
Last updated
10/14/2020
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