Individual
MS. JACKLEN SHAFFER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4317 STASSEN ST UNIT B, HOUSTON, TX 70051
(612) 290-9616
Mailing address
2700 CULLEN BLVD UNIT 841204, PEARLAND, TX 77584-1617
(612) 290-9616
Taxonomy
Speciality
Code
Description
License number
State
342000000X
Transportation Network Company
Primary
—
—
343800000X
Secured Medical Transport (VAN)
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
347C00000X
Private Vehicle
—
—
Other
Enumeration date
01/19/2023
Last updated
01/19/2023
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