| NPI | 1578873592 |
|---|---|
| Doing Business As | JACKSON MEDICAL SUPPLY |
| Entity Type | Organization |
| Authorized Contact | WENDY ANN WIGMORE Owner, CFO 707-446-7014 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CA 53238) |
| Enumeration Date | 2010-10-08 |
| Last Update Date | 2010-10-08 |