Individual
ADDISON JAY TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.AC
Contact information
Practice address
960 E GREEN ST STE 310, PASADENA, CA 91106-2401
(213) 373-4778
Mailing address
1829 BARA RD, GLENDALE, CA 91208-2501
(213) 373-4778
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
18577
CA
Other
Enumeration date
07/13/2020
Last updated
07/13/2020
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