Individual
TAYLOR DOKTYCZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4691 DEVERON DR, KERNERSVILLE, NC 27284-6857
(860) 281-2252
(336) 203-2211
Mailing address
4691 DEVERON DR, KERNERSVILLE, NC 27284-6857
(860) 281-2252
(336) 203-2211
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
59.001659
CT
133V00000X
Registered Dietitian
Primary
L008072
NC
Other
Enumeration date
10/08/2021
Last updated
02/20/2025
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