MARCKO JACKSON

LAFAYETTE, LA
NPI1093479297
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy343900000X Non-emergency Medical Transport (VAN)
Enumeration Date2021-10-25
Last Update Date2021-10-25
Business Address
MARCKO JACKSON
110 ELENORE ST
LAFAYETTE, LA 70501-4236
Phone number: 337-258-1813
Mailing Address
MARCKO JACKSON
110 ELENORE ST
LAFAYETTE, LA 70501-4236
Phone number: 337-258-1813