Judy Jackson

NPI #1144860255 in Cumberland, Virginia

Provider Information

NPI Number: 1144860255
Entity Type: Individual
Name: Judy Jackson
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Private Vehicle
Enumeration Date: Jan 7, 2020
Last Updated: Jan 7, 2020

Practice Location

Address: 29 MORRIS DR
City: Cumberland
State: Virginia
ZIP Code: 23040-2625
Phone: (804) 627-3460

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Private Vehicle	347C00000X	Primary

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