Individual
DOREEN ANN TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
19 RIDGEVIEW PL, WILLINGBORO, NJ 08046-4007
(706) 453-6813
Mailing address
19 RIDGEVIEW PL, WILLINGBORO, NJ 08046-4007
(706) 453-6813
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
CN0028658428
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CN0028658428
CERTIFIED NURSES AID
GA
Enumeration date
12/30/2014
Last updated
12/30/2014
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