Individual
TAYLOR MARIE MORESEA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
22856 SMITH NORTHWEST RD, ALLIANCE, OH 44601-8927
(570) 730-0242
Mailing address
22856 SMITH NORTHWEST RD, ALLIANCE, OH 44601-8927
(570) 730-0242
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.007221RX
OH
Other
Enumeration date
03/20/2021
Last updated
09/27/2021
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