Jackson Medical Supply INC
NPI #1104136126 in Woodland, California
Provider Information
- NPI Number
- 1104136126
- Entity Type
- Organization
- Organization Name
- Jackson Medical Supply INC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- JACKSON MEDICAL SUPPLY INC
- Primary Specialty
- Durable Medical Equipment & Medical Supplies
- Enumeration Date
- Oct 8, 2010
- Last Updated
- Oct 8, 2010
Practice Location
- Address
- 604 MAIN ST
- City
- Woodland
- State
- California
- ZIP Code
- 95695-3405
- Phone
- (530) 661-7409
Authorized Official
- Name
- MS. WENDY ANN WIGMORE
- Title
- OWNER CFO
- Phone
- (707) 446-7014
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
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