JACK BOOKER ANDERSON

GARDENA, CA
NPI1215507983
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy343900000X Non-emergency Medical Transport (VAN)
Enumeration Date2021-06-25
Last Update Date2023-02-07
Business Address
MR. JACK BOOKER ANDERSON
879 W 190TH ST STE 400
GARDENA, CA 90248-4223
Phone number: 310-887-6382
Mailing Address
MR. JACK BOOKER ANDERSON
PO BOX 470323
LOS ANGELES, CA 90047-0323
Phone number: 310-490-7570
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