Mr. Donald Ray Jack

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NPI Number Detailed Information

Provider Information:

Name:	Mr. Donald Ray Jack
Gender:	M
Provider License Number If Given:	12521464546464

NPI Information:

NPI:	1497079875
Entity Type (Individual or Organization):	1-ind
Enumeration Date:	3/15/2010
Last Update Date:	3/15/2010

Provider Business Mailing Address:

Address:	180 E. PROVIDENCIA AVE. Burbank, CA 91205
Phone Number:	4242020322
Fax Number:

Provider Business Practice Location Address:

Address:	1644 WILCOX AVE Hollywood, CA 90028
Phone Number:	4242020322
Fax Number:

Provider Taxonomy:

Primary:	146N00000X
Secondary (if any):
State:	CA

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About Mr. Donald Ray Jack

Mr. Donald Ray Jack (MR. DONALD RAY JACK ) is A Emergency Medical Technician, Basic Physician in Hollywood, CA. The NPI Number for Mr. Donald Ray Jack is 1497079875.

The current location address for Mr. Donald Ray Jack is 1644 WILCOX AVE Hollywood, CA 90028 and the contact number is 4242020322 and fax number is . The mailing address for Mr. Donald Ray Jack is 180 E. PROVIDENCIA AVE. Burbank, CA 91205- 4242020322 (mailing address contact number - 4242020322).

A Basic EMT is an individual trained and certified to perform basic life support treatment in medical emergencies based on individual state boards.

Provider Business Location on Map

FAQs:

What is the NPI Number for Mr. Donald Ray Jack ?

Answer: The NPI Number for Mr. Donald Ray Jack is 1497079875

Where is Mr. Donald Ray Jack located?

Answer: Mr. Donald Ray Jack is located at 1644 WILCOX AVE Hollywood, CA 90028.

What is the specialty for Mr. Donald Ray Jack ?

Answer: The Specialty of Mr. Donald Ray Jack is A Emergency Medical Technician, Basic Physician.

Are there any online reviews for Mr. Donald Ray Jack ?

Answer: Not yet!

Are there any other health care providers in Hollywood, CA?

Answer: Yes, there are given below...

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