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Individual

MARQUITA M TAYLOR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2304 N 51ST STREET, PHILADELPHIA, PA 19131-1913
(267) 575-9543
(267) 575-9543
Mailing address
2304 N 51ST STREET, PHILADELPHIA, PA 19131
(267) 575-9543

Taxonomy

Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000000000000000
PA
Enumeration date
09/05/2017
Last updated
09/05/2017
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