Rabun Dakota Jackson
Prosthetic/Orthotic Supplier in Baton Rouge, LA. Individual provider (NPI-1).
NPI number1336701671
StatusActive
Last updated in NPPESJul 8, 2019
Details
- NPI
- 1336701671
- Entity type
- Individual (NPI-1)
- Name
- Rabun Dakota Jackson
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jul 8, 2019
- Last updated
- Jul 8, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 335E00000X | Prosthetic/Orthotic Supplier | – | – | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | – | |
| 332BC3200X | Durable Medical Equipment & Medical Supplies, Customized Equipment | – | – |
Practice location
2236 Hoyt DrBaton Rouge, LA 70816-3384
Phone 225-620-6773
Mailing address
2236 Hoyt DrBaton Rouge, LA 70816-3384
Phone 225-620-6773
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All 30 Prosthetic/Orthotic Supplier providers in Baton Rouge · All 16,776 providers in Baton Rouge
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