Organization
KENNETH JACKSON
Active
Other names
Pic Me Up Taxi and Transportation Service
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KENNETH LEE JACKSON (SOLE PROPRIETOR)
(337) 419-8326
Entity
Organization
Contact information
Practice address
1216 OKLAHOMA ST, LAKE CHARLES, LA 70607-3624
(337) 419-8236
Mailing address
1216 OKLAHOMA ST, LAKE CHARLES, LA 70607-3624
(337) 419-8236
Taxonomy
Speciality
Code
Description
License number
State
344600000X
Taxi
Primary
008046248
LA
Other
Enumeration date
10/26/2015
Last updated
10/26/2015
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