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General NPI Number Information
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NPI Number | 1972427946
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Entity Type | Individual
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Provider Name | DELVINA GLADYS JEFFRIES CERTIFIED HAIR LOSS
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Gender | Female
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Dates
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Enumeration Date | 08/04/2026
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Last Update Date | 08/04/2026
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Provider Practice Location Address
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Address Line | 1905 SUNSET BLVD STE 8
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City | WEST COLUMBIA
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State | SC
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Zip | 29169-5955
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Country | US
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Telephone | 803-882-9372
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Fax |
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Provider Business Mailing Address
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Address Line | 635 ROSLINDALE CIR
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City | BLYTHEWOOD
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State | SC
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Zip | 29016-9187
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Country | US
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Telephone | 803-882-9372
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1744P3200X
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Taxonomy Name | Prosthetics Case Management
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License Number |
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License Number State |
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