Matthew Jackson
Matthew Jackson is a Driver in Lafayette, Louisiana. Practices as a sole proprietor. Licensed in Louisiana.
- Licensed in
- LA
- In the registry since
- 2016
Practice location Address checks out
3121 Johnston St Apt 142Lafayette, LA 70503-3760
Phone: (337) 201-2365
Fax: (337) 419-0513
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Driver (primary) | Taxonomy 172A00000X · Licence 010460855 (LA) |
|---|
Record details
| NPI number | 1932558210 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | June 8, 2016 |
| Last updated in NPPES | June 8, 2016 |
| Mailing address | 3121 Johnston St Apt 142, Lafayette, LA 70503-3760 |
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