Individual
PETRA TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
PO BOX 1324, DESERT HOT SPRINGS, CA 92240-0943
(866) 572-2160
Mailing address
PO BOX 1324, DESERT HOT SPRINGS, CA 92240-0943
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
09/26/2025
Last updated
09/26/2025
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