Individual provider · Type 1 NPI

Paul Jackson

Driver · Fremont, CA

NPI number 1043462815 Active

Practice location

34401 Calgary Ter
Fremont, CA 94555-2916

Specialties and licenses

TaxonomyCodeLicense
Driver Primary 172A00000XNone listed

Driver: A person employed to operate a motor vehicle as a carrier of persons or property.

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About NPI 1043462815

Paul Jackson's National Provider Identifier is 1043462815, issued on Oct 10, 2008. The primary taxonomy on file is Driver (172A00000X), and the practice location is in Fremont, CA. The record was last updated on Oct 10, 2008.