Individual
DOUGLAS DARNELL TAYLOR II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3518 W 25TH ST, CLEVELAND, OH 44109-1951
(216) 741-2241
Mailing address
3518 W 25TH ST, CLEVELAND, OH 44109-1951
(216) 741-2241
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2847272
—
OH
Enumeration date
07/15/2019
Last updated
07/15/2019
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