Shannon Oranda Jefferies
Technician in Greensboro, NC. Individual provider (NPI-1).
NPI number1710402078
StatusActive
Last updated in NPPESAug 8, 2017
Details
- NPI
- 1710402078
- Entity type
- Individual (NPI-1)
- Name
- Shannon Oranda Jefferies
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 8, 2017
- Last updated
- Aug 8, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 374700000X | Technician | 2416599 | NC | Yes |
Practice location
1100 E Wendover AveGreensboro, NC 27405-6713
Phone 336-641-2670
Mailing address
909 Fairway AveThomasville, NC 27360-3140
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