Jalal Jefferson

NPI 1043596984 - Home Health Aide - 374U00000X

NPI Details
NPI 1043596984
Gender Male
Enumeration Date 10/24/2011
Last Updated 10/24/2011
Entity Type Individual
Active Over 5 years ago
Practice Location
3850 GRANADA WAY N
OAKDALE MN, 55128-3031, US
Phone (651) 431-1797
Fax
Business Location
3850 GRANADA WAY N
OAKDALE MN, 55128-3031, US
Phone (651) 431-1797
Fax
Toxanomy
Taxonomy Code 374U00000X
License State
License Number
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According to our database, Mr. Jalal Jefferson NPI is 1043596984, taxonomy code is 374U00000X Jalal Jefferson physically located at 3850 Granada Way N, Oakdale MN, 55128-3031. NPI Number Jalal Jefferson has the Individual type.

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1043596984 NPI number is provided on an as is basis without warranty of any kind. 1043596984 is maintained by the National Plan & Provider Enumeration System. The contents of Jalal Jefferson are for informational purposes only.