Individual
IRIS JEFFRIES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4747 W 24TH AVE, GARY, IN 46406-2821
(219) 240-8615
Mailing address
1100 W 6TH AVE, GARY, IN 46402-1711
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
07/30/2020
Last updated
07/30/2020
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