person
Matthew Jackson
Driver in Lafayette, Louisiana
NPI 1932558210

Matthew Jackson is a Driver based in Lafayette, LA. Matthew Jackson practices in Lafayette, LA. The NPI Number for Matthew Jackson is 1932558210 and holds a License No. 010460855 (Louisiana).

The current practice location address for Matthew Jackson is 3121 Johnston St Apt 142, Lafayette, LA and can be reached out via phone at 337-201-2365 and via fax at 337-419-0513. You can also correspond with Matthew Jackson through the mailing address at 3121 JOHNSTON ST APT 142, LAFAYETTE, LA - 70503-3760 (mailing address contact number: ).

Location: 3121 Johnston St Apt 142, Lafayette, LA, 70503-3760
person
Provider Profile Details
NPI Number
1932558210
Provider Name
Matthew Jackson
Credential
Provider Entity Type
Individual
Gender
Male
Address
3121 Johnston St Apt 142, Lafayette, LA, 70503-3760
Phone Number
337-201-2365
Fax Number
337-419-0513
Provider Enumeration Date
06/08/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3121 Johnston St Apt 142
City
State
Zip
70503-3760
Phone Number
337-201-2365
Fax Number
337-419-0513
person
Provider Business Mailing Address Details
Address
3121 Johnston St Apt 142
City
State
Zip
70503-3760
Phone Number
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Driver
Speciality
-
Taxonomy
License No.
010460855 (Louisiana)
Definition
A person employed to operate a motor vehicle as a carrier of persons or property.
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