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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

TRENT LAMARR JACKSON

Active Sole Proprietor

TRENT LAMARR JACKSON is a Private Vehicle healthcare provider located in WEST HILLS, California. NPI 1497225197 is currently active in the NPPES registry. Verify at CMS.

Private Vehicle · WEST HILLS, CA

Registration Details

NPI Number
1497225197
Provider Type
Individual
Gender
Male
NPI Issued
Nov 26, 2018 (7.7454418564229 yrs)
Last Updated
Nov 26, 2018
License
A1243646 (CA)
Sole Proprietor
Yes

Practice Information

Address
22756 HAYNES ST
WEST HILLS, CA, 913073606
Browse CA providers · Browse ZIP 91307
Phone
8185172364
Primary Specialty
Private Vehicle
347C00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.