RICKY JACKSON

MEMPHIS, TN
NPI1164161030
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy347C00000X Private Vehicle
Additional Taxonomies343900000X Non-emergency Medical Transport (VAN)
Enumeration Date2022-05-31
Last Update Date2022-05-31
Business Address
Dr. RICKY JACKSON
7443 KEYNON CV
MEMPHIS, TN 38125-2737
Phone number: 919-559-4876
Mailing Address
Dr. RICKY JACKSON
PO BOX 25854
MEMPHIS, TN 38125-8011
Phone number:
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