SearchIdaho172V00000X

Sonnie Jefferson

NPI 1710288246 · on the registry since 2010 · sole proprietor

Practice

Address
409 1st St E
Hansen, ID 83334
Phone
(208) 423-5779

Registry record

Primary taxonomy
172V00000X
172V00000X
Sex
Female
Record last updated
2010-11-15

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 Idaho