Individual
RACQUEL MONIQUE JEFFERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
817 N PERRY ST, PONTIAC, MI 48342-1570
(248) 818-1755
Mailing address
21 N PADDOCK ST, PONTIAC, MI 48342-2618
(248) 818-1755
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
07/19/2021
Last updated
07/19/2021
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