Individual
CARLIYA JEFFERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10384 DAVIS RD, GLEN SAINT MARY, FL 32040-3616
(904) 408-1802
Mailing address
10384 DAVIS RD, GLEN SAINT MARY, FL 32040-3616
(904) 408-1802
Taxonomy
Speciality
Code
Description
License number
State
246QL0900X
Laboratory Management Specialist/Technologist
Primary
—
—
Other
Enumeration date
10/06/2025
Last updated
10/06/2025
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