Individual
REGINA MARIE JEFFRIES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
645 WALLENBERG DR, EL PASO, TX 79912-5723
(915) 832-0890
Mailing address
PO BOX 12563, EL PASO, TX 79913-0563
(915) 832-0890
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MT104624
TX
Other
Enumeration date
01/06/2008
Last updated
01/06/2008
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