Individual
LISA DIANE TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
79 N LONGWORTH ST, JACKSON, OH 45640-1414
(740) 978-6241
Mailing address
79 N LONGWORTH ST, JACKSON, OH 45640-1414
(740) 978-6241
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
04/11/2023
Last updated
04/11/2023
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