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Ms. Pamela Kenna Jackson
Driver in Union, New Jersey
NPI 1013482439

Pamela Kenna Jackson is a Driver based in Union, NJ. Pamela Kenna Jackson practices in Union, NJ. The NPI Number for Pamela Kenna Jackson is 1013482439 and holds a License No. J00626147258862 (New Jersey).

The current practice location address for Pamela Kenna Jackson is 1496 Village Rd Apt A, Union, NJ and can be reached out via phone at 201-284-2307.

Location: 1496 Village Rd Apt A, Union, NJ, 07083-4461
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1013482439
Provider Name
Pamela Kenna Jackson
Credential
Provider Entity Type
Individual
Gender
Female
Address
1496 Village Rd Apt A, Union, NJ, 07083-4461
Phone Number
201-284-2307
Fax Number
Provider Enumeration Date
10/12/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1496 Village Rd Apt A
City
Union
State
New Jersey
Zip
07083-4461
Phone Number
201-284-2307
Fax Number
person
Provider Business Mailing Address Details
Address
1496 Village Rd Apt A
City
Union
State
New Jersey
Zip
07083-4461
Phone Number
201-284-2307
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Driver
Speciality
-
Taxonomy
172A00000X
License No.
J00626147258862 (New Jersey)
Definition
A person employed to operate a motor vehicle as a carrier of persons or property.
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