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Organization

JACKSON MEDICAL SERVICE SUPPLIES & EQUIPMENT

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ANDRE JACKSON (PRESIDENT)
(510) 222-1075
Entity
Organization

Contact information

Practice address
2930 B HILLTOP MALL ROAD, RICHMOND, CA 94806
(510) 222-1075
Mailing address
2930 B HILLTOP MALL ROAD, RICHMOND, CA 94806
(510) 222-1075

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary

Other

Enumeration date
07/26/2021
Last updated
07/26/2021
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