Individual
AMARIS LA'NISE TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
902 LARKINA ST, BASTROP, LA 71220-3320
(318) 282-5294
Mailing address
902 LARKINA ST, BASTROP, LA 71220-3320
(318) 282-5294
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
121638
AR
Other
Enumeration date
12/15/2020
Last updated
12/15/2020
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