Individual
LARRY D JEFFERSON SR.
Active
Individual
LARRY D JEFFERSON SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
146M00000X
Intermediate Emergency Medical Technician
Primary
801522422
MS
Other
Enumeration date
06/16/2025
Last updated
06/23/2025
Update your record
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