Individual
BONNIE L TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
275 W MACARTHUR, OAKLAND, CA 94611-5641
(510) 752-1000
Mailing address
275 W MACARTHUR, OAKLAND, CA 94611-5641
(510) 752-1000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
22454
CA
Other
Enumeration date
09/25/2012
Last updated
02/11/2022
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