Individual
BILLY JAY TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS RD LD
Contact information
Practice address
601 DR MARTIN LUTHER KING JR AVE NE, ALBUQUERQUE, NM 87102-3619
(505) 727-8461
Mailing address
611 LEAD AVE SW APT 705, ALBUQUERQUE, NM 87102-3168
(303) 819-8082
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86090087
NM
Other
Enumeration date
07/13/2017
Last updated
07/13/2017
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