KENNETH LEE JACKSON

LAKE CHARLES, LA
NPI1154058162
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy343900000X Non-emergency Medical Transport (VAN)
Enumeration Date2022-08-01
Last Update Date2022-08-01
Business Address
Mr. KENNETH LEE JACKSON
1216 OKLAHOMA ST
LAKE CHARLES, LA 70607-3624
Phone number: 337-414-0914
Mailing Address
Mr. KENNETH LEE JACKSON
1216 OKLAHOMA ST
LAKE CHARLES, LA 70607-3624
Phone number: 337-414-0914
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