LARRY D JEFFERSON

COLUMBUS, MS
NPI1881580819
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy146M00000X Emergency Medical Technician, Intermediate
(Licence: MS  801522422)
Enumeration Date2025-06-16
Last Update Date2025-06-23
Business Address
LARRY D JEFFERSON
342 SYLVAN RD
COLUMBUS, MS 39702-3014
Phone number: 662-364-0578
Mailing Address
LARRY D JEFFERSON
342 SYLVAN RD
COLUMBUS, MS 39702-3014
Phone number: 662-435-5300