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Tongala Jefferson
NPI 1821261538 · on the registry since 2008
Practice
- Address
- 1257 N Pines Dr
Shreveport, LA 71107 - Phone
- (318) 678-0656
Registry record
- Primary taxonomy
- 225200000X
225200000X
- Also registered as
- 225200000X
- Licence states on file
- TX, LA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2020-10-22
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 Louisiana