ETHAN SHAKEEL JEFFERSON

SACRAMENTO, CA
NPI1275358806
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2024-11-19
Last Update Date2024-11-19
Business Address
ETHAN SHAKEEL JEFFERSON
2725 I ST APT 2
SACRAMENTO, CA 95816-4367
Phone number: 530-615-1615
Mailing Address
ETHAN SHAKEEL JEFFERSON
2725 I ST APT 2
SACRAMENTO, CA 95816-4367
Phone number: 530-615-1615