ANTHONY JACKSON

BATON ROUGE, LA
NPI1023595097
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy343900000X Non-emergency Medical Transport (VAN)
(Licence: LA  004618339)
Enumeration Date2018-07-23
Last Update Date2018-07-23
Business Address
ANTHONY JACKSON
1224 STOKLEY PL
BATON ROUGE, LA 70815-7030
Phone number: 225-329-4073
Mailing Address
ANTHONY JACKSON
1224 STOKLEY PL
BATON ROUGE, LA 70815-7030
Phone number: 225-329-4073