Individual
TAYLOUR CANOSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7861 INDIAN RD, GLOUCESTER, VA 23061-5258
(804) 693-2047
Mailing address
1794 REGENT RD, TOPPING, VA 23169-2021
(804) 384-8533
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
12/23/2019
Last updated
12/23/2019
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