Individual
TAKARRA T TRAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7022 S MORNING DEW LN, BUCKEYE, AZ 85326-1149
(623) 206-5247
Mailing address
7022 S MORNING DEW LN, BUCKEYE, AZ 85326-1149
(623) 206-5247
Taxonomy
Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Enumeration date
12/28/2022
Last updated
12/28/2022
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