RICHARD ALLEN JACKSON

OTIS ANGB, MA
NPI1952386690
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy146N00000X Emergency Medical Technician, Basic
(Licence: CA  B0415118)
Additional Taxonomies247200000X Technician, Other
Enumeration Date2005-12-14
Last Update Date2007-07-08
Business Address
Mr. RICHARD ALLEN JACKSON HS
KAEHLER MEMORIAL MEDICAL CLINIC US COAST GUARD
OTIS ANGB, MA 02542
Phone number: 508-968-6713
Mailing Address
Mr. RICHARD ALLEN JACKSON HS
5690 PEETS ST
OTIS ANGB, MA 02542-1030
Phone number: 503-504-6492