ETHAN SHAKEEL JEFFERSON

GRASS VALLEY, CA
NPI1275358806
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: CA  67370)
Enumeration Date2024-11-19
Last Update Date2025-12-03
Business Address
ETHAN SHAKEEL JEFFERSON PA-C
280 SIERRA COLLEGE DR STE 207
GRASS VALLEY, CA 95945-5769
Phone number: 530-477-7390
Mailing Address
ETHAN SHAKEEL JEFFERSON PA-C
2725 I ST APT 2
SACRAMENTO, CA 95816-4367
Phone number: 530-615-1615
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