Individual
MRS. YOLANDA MARIE TAITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
304 SOUTHWEST BLVD, MOBILE, AL 36611-2113
(251) 300-8526
(251) 300-8531
Mailing address
304 SOUTHWEST BLVD, MOBILE, AL 36611-2113
(251) 300-8526
(251) 300-8531
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
171W00000X
AL
Other
Enumeration date
01/10/2010
Last updated
01/10/2010
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