Individual
MISS TAYLOR BREECH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1610 SAM JONES AVE, MOUNT VERNON, AL 36560
(251) 281-3875
Mailing address
PO BOX 682, MOUNT VERNON, AL 36560-0682
(251) 281-3875
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
02/01/2021
Last updated
02/01/2021
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