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Individual

CAROL PECKHAM TAYLOR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN, CNM

Contact information

Practice address
2707 S CENTRAL AVE, LOS ANGELES, CA 90011-5527
(132) 323-4500
(323) 231-3985
Mailing address
2707 S CENTRAL AVE, LOS ANGELES, CA 90011-5527
(132) 323-4500
(323) 231-3985

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
2120
AZ
363LF0000X
Family Nurse Practitioner
6299
CA
367A00000X
Advanced Practice Midwife
Primary
670
CA

Other

Enumeration date
09/14/2007
Last updated
06/27/2012
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