Individual
MISS EMILY R JEFFERYS
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
STNA
Contact information
Practice address
3597 HANOVER DR, KENT, OH 44240-6613
(330) 676-1585
Mailing address
3597 HANOVER DR, KENT, OH 44240-6613
(330) 676-1585
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
23542798
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2542798
—
OH
Enumeration date
10/11/2005
Last updated
07/08/2007
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