Fabian Jackson
Fabian Jackson is a Driver in Baton Rouge, Louisiana. Registered with an NPI since 2019.
- In the registry since
- 2019
Practice location Address checks out
3173 Washington AveBaton Rouge, LA 70802-2178
Phone: (225) 778-7678
Fax: (225) 341-6825
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Driver (primary) | Taxonomy 172A00000X |
|---|
Record details
| NPI number | 1336784412 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | November 12, 2019 |
| Last updated in NPPES | November 12, 2019 |
| Mailing address | 3173 Washington Ave, Baton Rouge, LA 70802-2178 |
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