Individual
KENAYA JAZMINE TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
112 FALCON XING, CIBOLO, TX 78108-4280
(210) 789-8271
Mailing address
112 FALCON XING, CIBOLO, TX 78108-4280
(210) 789-8271
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
330532
TX
Other
Enumeration date
08/24/2020
Last updated
08/24/2020
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