FABIAN JACKSON

Driver

Active Individual
NPI: 1336784412

Practice Address

3173 WASHINGTON AVE
Baton Rouge, LA 70802

Phone: (225) 778-7678

Specialties

Specialty Code Primary License
Driver 172A00000X Yes -

Frequently Asked Questions

NPI 1336784412 is the National Provider Identifier for FABIAN JACKSON, a Driver provider located in Baton Rouge, LA. This NPI was enumerated on November 12, 2019.
FABIAN JACKSON practices at 3173 WASHINGTON AVE, Baton Rouge, LA 70802.

Quick Facts

NPI
1336784412
Type
Individual
Enumerated
Nov 12, 2019
Last Updated
Nov 12, 2019

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