RICHARD DE'WAYNE JEFFERSON

ALEXANDRIA, LA
NPI1508689258
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy261QP2000X Clinic/Center, Physical Therapy
Enumeration Date2024-11-01
Last Update Date2024-11-01
Business Address
RICHARD DE'WAYNE JEFFERSON
1404 ENGLAND DR
ALEXANDRIA, LA 71303-4106
Phone number: 318-308-6043
Mailing Address
RICHARD DE'WAYNE JEFFERSON
1404 ENGLAND DR
ALEXANDRIA, LA 71303-4106
Phone number: 318-308-6043
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