Individual provider · Type 1 NPI
Trent Lamarr Jackson
Private Vehicle · West Hills, CA
NPI number
1497225197
Active
Practice location
22756 Haynes St
West Hills, CA 91307-3606
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Private Vehicle Primary | 347C00000X | A1243646 (CA) |
Private Vehicle: An individual paid to provide non-emergency transportation using their privately owned/leased vehicle.
About NPI 1497225197
Trent Lamarr Jackson's National Provider Identifier is 1497225197, issued on Nov 26, 2018. The primary taxonomy on file is Private Vehicle (347C00000X), and the practice location is in West Hills, CA. The record was last updated on Nov 26, 2018.