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Jackson Medical Supply INC

Durable Medical Equipment & Medical Supplies in Vacaville, CA. Organization (NPI-2).

NPI number1386974491
StatusActive
Last updated in NPPESJun 29, 2010

Details

NPI
1386974491
Entity type
Organization (NPI-2)
Legal business name
Jackson Medical Supply INC
Organization subpart
No
Enumeration date
Jan 12, 2010
Last updated
Jun 29, 2010

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
332B00000X Durable Medical Equipment & Medical Supplies103834CAYes

Practice location

506 Main St
Vacaville, CA 95688-3922

Phone 707-446-7014 · Fax 707-446-1871

Mailing address

506 Main St
Vacaville, CA 95688-3922

Phone 707-446-7014 · Fax 707-446-1871

Authorized official

Wendy Ann Wigmore
Owner
7074467014

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