Individual
MR. THOMAS NEWELL TAYLOR II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN BSN
Contact information
Practice address
1509 WILSON TER, GLENDALE, CA 91206-4007
(818) 409-8000
Mailing address
1509 WILSON TER, GLENDALE, CA 91206-4007
(818) 409-8000
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
95033479
CA
Other
Enumeration date
09/14/2022
Last updated
09/14/2022
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