Individual
CAMILLE TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
696E.101ST, CLEVELAND, OH 44108
(216) 376-5547
Mailing address
696E.101ST, CLEVELAND, OH 44108-1323
(216) 376-5547
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3143431
—
OH
Enumeration date
05/22/2014
Last updated
05/22/2014
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