Individual
BEVERLY ANN TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
98 COR MAR LN, ROCHESTER, NY 14616-3236
(585) 319-3125
Mailing address
98 COR MAR LN, ROCHESTER, NY 14616-3236
(585) 319-3125
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
307567
NY
Other
Enumeration date
04/18/2012
Last updated
04/18/2012
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