Rabun Dakota Jackson
NPI #1336701671 in Baton Rouge, Louisiana
Provider Information
- NPI Number
- 1336701671
- Entity Type
- Individual
- Name
- Rabun Dakota Jackson
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Prosthetic/Orthotic Supplier
- Enumeration Date
- Jul 8, 2019
- Last Updated
- Jul 8, 2019
Practice Location
- Address
- 2236 HOYT DR
- City
- Baton Rouge
- State
- Louisiana
- ZIP Code
- 70816-3384
- Phone
- (225) 620-6773
Specialties & Taxonomy Codes
| Specialty |
|---|
| Prosthetic/Orthotic Supplier |
| Durable Medical Equipment & Medical Supplies |
| Durable Medical Equipment & Medical Supplies - Customized Equipment — Customized Equipment |
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|---|---|
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