Individual
LATASHA JEFFERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5350 AEROPARK DR APT 4703, HOUSTON, TX 77032-4221
(832) 286-6543
Mailing address
5350 AEROPARK DR APT 4703, HOUSTON, TX 77032-4221
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
848513
TX
Other
Enumeration date
09/05/2018
Last updated
09/05/2018
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