KHADIJAH KIANA JEFFERSON

IRMO, SC
NPI1134954191
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy374U00000X Home Health Aide
Additional Taxonomies164W00000X Licensed Practical Nurse
(Licence: SC  54448)
372600000X Adult Companion
3747P1801X Technician, Personal Care Attendant
376K00000X Nurse's Aide
Enumeration Date2024-09-07
Last Update Date2024-09-07
Business Address
KHADIJAH KIANA JEFFERSON
7801 SAINT ANDREWS RD # B1
IRMO, SC 29063-2866
Phone number: 803-240-9950
Mailing Address
KHADIJAH KIANA JEFFERSON
7801 SAINT ANDREWS RD # B1
IRMO, SC 29063-2866
Phone number: