Individual
MS. SHYLLA TAQI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
4542 HAMMOCKS DR APT 306, ERIE, PA 16506-7507
(909) 730-7962
Mailing address
12371 MACON DR, RANCHO CUCAMONGA, CA 91739-2661
(909) 730-7962
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
SC007359
PA
Other
Enumeration date
04/03/2019
Last updated
07/15/2023
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