Individual
PATTIELASHAWN JEFFERIES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
129 PHEASANT LN, GRAND BLANC, MI 48439-8188
(810) 336-1261
Mailing address
129 PHEASANT LN, GRAND BLANC, MI 48439-8188
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703123420
MI
Other
Enumeration date
01/14/2025
Last updated
01/14/2025
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