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Individual

CATHERINE RUTH TAYLOR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
620 W LEXINGTON ST, BALTIMORE, MD 21201-1508
(123) 456-7890
Mailing address
3700 TOONE ST APT 2337, BALTIMORE, MD 21224-5176

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
C0007679
MD
363A00000X
Physician Assistant
Primary

Other

Enumeration date
10/15/2019
Last updated
04/16/2024
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