Individual
DELANCY JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
11227 TRISLER DR, FREDERICKSBURG, VA 22407-6475
(540) 273-0444
Mailing address
11227 TRISLER DR, FREDERICKSBURG, VA 22407-6475
(540) 273-0444
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
VA
Other
Enumeration date
02/11/2016
Last updated
02/11/2016
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