Individual
MR. HOWARD WOODROW JACKSON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.D.C.S.
Contact information
Practice address
301 W BOUNDARY AVE, WINNFIELD, LA 71483-3427
(318) 648-3064
(318) 628-3285
Mailing address
25 KANOME ROAD, LECOMPTE, LA 71346-9566
(318) 776-9949
(413) 653-8834
Taxonomy
Speciality
Code
Description
License number
State
246XS1301X
Sonography Specialist/Technologist Cardiovascular
Primary
16604
LA
Other
Enumeration date
05/24/2006
Last updated
08/04/2009
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