Individual
JONATHAN TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
230 N SHANNON RD APT 6, TUCSON, AZ 85745-1768
(520) 305-7025
Mailing address
230 N SHANNON RD APT 6, TUCSON, AZ 85745-1768
(520) 305-7025
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT-19809
AZ
Other
Enumeration date
11/01/2020
Last updated
11/01/2020
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