Individual
TAYLOR JEAN WHETHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7670 PARKER ST, FORT RILEY, KS 66442-4247
(785) 239-4174
Mailing address
862 S 2400 RD, WHITE CITY, KS 66872-9398
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
3051
NE
Other
Enumeration date
05/05/2022
Last updated
05/05/2022
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