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Trent Lamarr Jackson
Private Vehicle in West Hills, California
NPI 1497225197

Trent Lamarr Jackson is a Private Vehicle based in West Hills, CA. Trent Lamarr Jackson practices in West Hills, CA. The NPI Number for Trent Lamarr Jackson is 1497225197 and holds a License No. A1243646 (California).

The current practice location address for Trent Lamarr Jackson is 22756 Haynes St, West Hills, CA and can be reached out via phone at 818-517-2364.

Location: 22756 Haynes St, West Hills, CA, 91307-3606
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1497225197
Provider Name
Trent Lamarr Jackson
Credential
Provider Entity Type
Individual
Gender
Male
Address
22756 Haynes St, West Hills, CA, 91307-3606
Phone Number
818-517-2364
Fax Number
Provider Enumeration Date
11/26/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
22756 Haynes St
City
West Hills
State
California
Zip
91307-3606
Phone Number
818-517-2364
Fax Number
person
Provider Business Mailing Address Details
Address
22756 Haynes St
City
West Hills
State
California
Zip
91307-3606
Phone Number
818-517-2364
Fax Number
person
Provider's Taxonomy Details 1
Type
Transportation Services
Classification
Private Vehicle
Speciality
-
Taxonomy
347C00000X
License No.
A1243646 (California)
Definition
An individual paid to provide non-emergency transportation using their privately owned/leased vehicle.
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