Individual
MACKENNA RYANN TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2918 TUOLUMNE PL, ONTARIO, CA 91761-0707
(909) 609-4572
Mailing address
2918 TUOLUMNE PL, ONTARIO, CA 91761-0707
(909) 609-4572
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
CA
Other
Enumeration date
04/20/2026
Last updated
04/20/2026
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