Individual
AMANDA MICHELLE TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
91 NORTHWEST DR, PLAINVILLE, CT 06062
(860) 793-3875
(860) 793-3369
Mailing address
135 GLOUCESTER CT APT 1, NEWINGTON, CT 06111-4512
(860) 878-9395
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/11/2023
Last updated
04/11/2023
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