Individual
TAYLOR DE NATALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14 S BROADWAY, BALTIMORE, MD 21231-1712
(410) 276-1773
Mailing address
14 S BROADWAY, BALTIMORE, MD 21231-1712
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
25242
MD
Other
Enumeration date
08/05/2019
Last updated
08/05/2019
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