Individual
TIWANA RICE JEFFERIES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SUDRC #15127
Contact information
Practice address
2408 CAGLE CT, GASTONIA, NC 28056-6329
(980) 251-2485
Mailing address
2408 CAGLE CT, GASTONIA, NC 28056-6329
(980) 251-2485
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
15127
CA
Other
Enumeration date
01/17/2024
Last updated
01/17/2024
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