Individual
ROSLYN TAGGART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
241 W A ST, DIXON, CA 95620-3448
(707) 722-2811
Mailing address
4820 BUSINESS CENTER DR STE 110, FAIRFIELD, CA 94534-1907
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
A1524373
CA
372600000X
Adult Companion
—
—
373H00000X
Day Training/Habilitation Specialist
—
—
3747A0650X
Attendant Care Provider
—
—
3747P1801X
Personal Care Attendant
—
—
Other
Enumeration date
04/25/2023
Last updated
02/04/2024
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