Individual
VIVIAN GAYE TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
120 COUNTY ROAD 1551, LONG BRANCH, TX 75669-0306
(903) 754-7727
Mailing address
120 COUNTY ROAD 1551, LONG BRANCH, TX 75669-0306
(903) 754-7727
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
Other
Enumeration date
08/09/2022
Last updated
08/09/2022
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