Individual
ELIZABETH TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1904 RICHLAND AVE, CERES, CA 95307-4562
(209) 541-2085
Mailing address
1904 RICHLAND AVE, CERES, CA 95307-4562
(209) 541-2085
Taxonomy
Speciality
Code
Description
License number
State
374700000X
Technician
Primary
—
—
Other
Enumeration date
10/21/2007
Last updated
08/14/2013
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