NPI 1891489852

Renotta Jefferson

Practitioner Phlebology Physician Worton, MD

Practice location

Address: 25054 Lambs Meadow Rd, Worton, MD 21678-1919
Phone: (443) 480-6608

Registered specialties

Phlebology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 202K00000X Licence S6K2D8M4 (DE)

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Registry record

NPI: 1891489852
Entity type: Individual
Sex (as registered): Female
NPI issued: 5 Jun 2023
Record last updated: 5 Jun 2023

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.