Provider Demographics
NPI:1538850557
Name:JEFFERS, MARY CECILIA (MD)
Entity type:Individual
Prefix:MS
First Name:MARY
Middle Name:CECILIA
Last Name:JEFFERS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1510 WEST 6TH AVENUE
Mailing Address - Street 2:UNIT #401
Mailing Address - City:VANCOUVER
Mailing Address - State:BRITISH COLUMBIA
Mailing Address - Zip Code:V6J1R2
Mailing Address - Country:CA
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:4500 OAK STREET
Practice Address - Street 2:BC CHILDREN'S HOSPITAL
Practice Address - City:VANCOUVER
Practice Address - State:BRITISH COLUMBIA
Practice Address - Zip Code:V6H3N1
Practice Address - Country:CA
Practice Address - Phone:604-220-0379
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-19
Last Update Date:2023-12-21
Deactivation Date:2023-12-21
Deactivation Code:
Reactivation Date:2023-12-21
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program