Individual
ELIZABETH M TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11558 PORTSMOUTH DR, SAINT LOUIS, MO 63138-1137
(309) 868-1922
Mailing address
11558 PORTSMOUTH DR, SAINT LOUIS, MO 63138-1137
(309) 868-1922
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
—
MO
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
11/23/2021
Last updated
11/23/2021
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