WOMBLE JACKSON

RUSTON, LA
NPI1740802123
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy343900000X Non-emergency Medical Transport (VAN)
Enumeration Date2020-05-08
Last Update Date2020-05-08
Business Address
Mr. WOMBLE JACKSON
2003 FRANKLIN AVE
RUSTON, LA 71270-9661
Phone number: 318-331-3977
Mailing Address
Mr. WOMBLE JACKSON
2003 FRANKLIN AVE
RUSTON, LA 71270-9661
Phone number: 318-331-3977