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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.

Location: 3121 Johnston St Apt 142, Lafayette, LA, 70503-3760
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
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
Lafayette
State
Louisiana
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
Lafayette
State
Louisiana
Zip
70503-3760
Phone Number
337-201-2365
Fax Number
337-419-0513
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Driver
Speciality
-
Taxonomy
172A00000X
License No.
010460855 (Louisiana)
Definition
A person employed to operate a motor vehicle as a carrier of persons or property.
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