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Desarae Jefferson
NPI 1114559077 · on the registry since 2020 · sole proprietor
Practice
- Address
- 4357 Roark Mill Rd
Hurt, VA 24563 - Phone
- (434) 420-8823
- Fax
- (434) 324-0568
Registry record
- Primary taxonomy
- Private Vehicle
347C00000X
- Licence states on file
- VA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2020-02-10
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Virginia