Colleen Marie Jackson, COF
Durable Medical Equipment & Medical Supplies in Taneytown, MD. Individual provider (NPI-1).
NPI number1346354073
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1346354073
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Colleen Marie Jackson
- Credential
- COF
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 19, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 332B00000X | Durable Medical Equipment & Medical Supplies | P03001 | MD | Yes |
Practice location
417 E Baltimore StUnit A
Taneytown, MD 21787-2300
Phone 410-756-5240
Mailing address
417 E Baltimore StUnit A
Taneytown, MD 21787-2300
Phone 410-756-5240
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