Individual
SHANIKA IESHA JEFFERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
123 TIMBER CT, LYNCHBURG, VA 24501-2954
(434) 426-1253
Mailing address
123 TIMBER CT, LYNCHBURG, VA 24501-2954
(434) 426-1253
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
E9J2E2T9
VA
Other
Enumeration date
05/12/2022
Last updated
07/09/2022
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