Jackson Taravine
Durable Medical Equipment & Medical Supplies
- Gender: Male
- Sole propriator: Yes
About Jackson Taravine
He is located at 14239 W Bell Rd Ste 108, , in Surprise, AZ 85374. Appointment can be made via the phone number (623) 248-4283.
Jackson Taravine - Address, Phone & Website
14239 W Bell Rd Ste 108, , Surprise, AZ 85374
(623) 248-4283
Medical Specialties & Taxonomy codes
| Primary | Specialty | Taxonomy Code |
|---|---|---|
| No | Durable Medical Equipment & Medical Supplies | 332B00000X |
| No | Durable Medical Equipment & Medical Supplies | 332B00000X |
| No | Durable Medical Equipment & Medical Supplies | 332B00000X |
| No | Durable Medical Equipment & Medical Supplies | 332B00000X |
| No | Durable Medical Equipment & Medical Supplies | 332B00000X |
Licenses
| State | License Number |
|---|---|
| Arizona | 70349500001 |
| Arizona | 7047150001 |
| Arizona | 7209350001 |
| Arizona | 7939960001 |
| Arizona | 704516001 |