Individual
ANDREA TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4327 PEACEFUL PATH CT, NORTH LAS VEGAS, NV 89032-0118
(725) 500-4764
Mailing address
4327 PEACEFUL PATH CT, NORTH LAS VEGAS, NV 89032-0118
(725) 500-4764
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
12/26/2018
Last updated
12/26/2018
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