Individual
KEOSHIA MONIQUE JACKSON-GREEN
Active
Individual
KEOSHIA MONIQUE JACKSON-GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
007370753
LA
174200000X
Meals Provider
—
—
177F00000X
Lodging Provider
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
—
—
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
347B00000X
Bus
—
—
347C00000X
Private Vehicle
—
—
347E00000X
Transportation Broker
—
—
Other
Enumeration date
06/07/2024
Last updated
06/22/2026
Update your record
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