Individual
ANGELICA DENISE JEFFERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4509 SAGEWOOD LN, CENTER POINT, AL 35215-5856
(205) 585-7286
Mailing address
4509 SAGEWOOD LN, CENTER POINT, AL 35215-5856
(205) 585-7286
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
—
—
225B00000X
Pulmonary Function Technologist
—
—
227900000X
Registered Respiratory Therapist
Primary
1074
AL
246RP1900X
Phlebotomy Technician
M3B2H2C5
—
Other
Enumeration date
09/07/2021
Last updated
09/07/2021
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