Individual
TAYLOR COTY LINEBACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
925 10TH AVE, SIDNEY, NE 69162-1609
(308) 249-0718
Mailing address
918 SHELDON STREET, LODGEPOLE, NE 69149
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
3747P1801X
Personal Care Attendant
—
—
Other
Enumeration date
02/10/2025
Last updated
02/10/2025
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