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Individual

GLORIA C TAYLOR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
7248 SOUTH LAND PARK DR., SUITE 205, SACRAMENTO, CA 95831-3661
(916) 392-4000
(916) 392-2722
Mailing address
7248 SOUTH LAND PARK DR., SUITE 100, SACRAMENTO, CA 95831-3661
(916) 392-4000
(916) 392-7215

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
171070
CA
363A00000X
Physician Assistant
Primary
PA17107
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
GR0078350
MEDICAL
CA
Enumeration date
12/04/2006
Last updated
03/07/2023
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