Individual
CHRYSTAL CLARICE TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
10652 S EASTERN AVE STE A, HENDERSON, NV 89052-4953
(702) 476-2800
(702) 476-2040
Mailing address
PO BOX 743752, ATLANTA, GA 30374-3752
(702) 476-2800
(702) 476-2040
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA1279
NV
Other
Enumeration date
01/27/2011
Last updated
09/02/2016
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