Individual
AGINAH JEFFERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
175 GWINNETT DR STE 360, LAWRENCEVILLE, GA 30046-8437
(678) 209-2337
Mailing address
1963 TULIP PETAL RD, AUBURN, GA 30011-2160
(334) 750-1214
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
251561
GA
Other
Enumeration date
11/09/2015
Last updated
11/09/2015
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