IndividualActive
Renotta Jefferson
NPI 1891489852 · Phlebology Physician · Worton, MD
Provider details
- NPI number
- 1891489852
- Entity type
- Individual
- Primary specialty
- Phlebology PhysicianAllopathic & Osteopathic Physicians
- Sex
- Female
- Sole proprietor
- Yes
- License
- S6K2D8M4 (DE)
Mailing address
25054 Lambs Meadow Rd
Worton, MD 21678-1919
Registry dates
- Enumerated
- 2023-06-05
- Last updated
- 2023-06-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.