Individual
JERMAINE TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CSFA
Contact information
Practice address
4147 E STONY MEADOW DR, TUCSON, AZ 85756-3077
(214) 227-2457
(214) 764-0880
Mailing address
PO BOX 2550, ROWLETT, TX 75030-2550
(214) 227-2457
(214) 764-0880
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
164858
AZ
Other
Enumeration date
08/03/2015
Last updated
07/23/2020
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