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Contact Information

TANYA JACKSON
7521 WESTBANK EXPY STE B
MARRERO, LA70072-2300
 Phone: 504-391-3191
 Fax: 504-391-3193
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Customized Equipment

332BC3200X 87 All Other Suppliers
Indicates primary specialty

NPI Profile & details for TANYA JACKSON · (Female)

NPI # 1356431555
Status Active
Credentials
Entity Individual
Enumeration date 10/16/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Yes
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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