Klaire-Jefferson, Randi L

Klaire-Jefferson, Randi L is an sole proprietor health care provider with primary practice located at 537 Sw Dauphin Ave , Port St Lucie FL 34953-5854. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Art Therapist, which is considered as her primary health care specialty. Klaire-Jefferson, Randi L can be contacted via phone (423) 341-3356.

Contact Information

Primary practice address
537 Sw Dauphin Ave Port St Lucie FL 34953-5854
Phone: (423) 341-3356
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Art Therapist 221700000X 86-069 New York

Profile Details

NPI number 1740904226
LBN Legal business name Klaire-Jefferson, Randi L
Credentials MA, ATR
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 28th, 2022
Last updated Sep 28th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1740904226 NPPES
Florida Other K462-732-55-629-0 DRIVERS LICENSE

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