Individual
ANGELA TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7925 WHITETAIL DR, MOUNT PLEASANT, WI 53406-1750
(262) 994-7871
Mailing address
7925 WHITETAIL DR, MOUNT PLEASANT, WI 53406-1750
(262) 994-7871
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
303700-031
WI
Other
Enumeration date
08/29/2012
Last updated
08/29/2012
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