Most Relevant Information
Provider Data
| NPI Number: | 1003265224 |
| Provider Name: | P'ANNA JEFFERIES |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 06/08/2016 |
| Last Updated: | 06/08/2016 |
Provider Practice Location
4250 FOWLER LN
DIAMOND SPRINGS
CA
956199781
Practice Location Phone/Fax
| Phone: | 5306262589 |
| Fax: |
Provider Mailing Location
9100 TUOLUMNE DR
#15
SACRAMENTO
CA
958262401
Provider Mailing Phone/Fax
| Phone: | 5109678534 |
| Fax: |