NPI 1043596984
Jalal Jefferson
Practice location
- Address
- 3850 Granada Way N, Oakdale, MN 55128-3031
- Phone
- (651) 431-1797
Registered specialties
Home Health Aide
Primary
Registry record
- NPI
- 1043596984
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 24 Oct 2011
- Record last updated
- 24 Oct 2011
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.