Organization
JACKSON MEDIA INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WESLEY JACKSON (CEO)
(916) 604-4793
Entity
Organization
Contact information
Practice address
4210 27TH ST, LONG ISLAND CITY, NY 11101-5087
(209) 432-5576
(209) 432-5590
Mailing address
4210 27TH ST, LONG ISLAND CITY, NY 11101-5087
(209) 432-5576
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
10/12/2023
Last updated
10/12/2023
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