Individual
KANSAS TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
STNA
Contact information
Practice address
265 MILL CREEK DR, YOUNGSTOWN, OH 44512-1406
(330) 540-0046
Mailing address
265 MILL CREEK DR, YOUNGSTOWN, OH 44512-1406
(330) 540-0046
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
402219901119
OH
Other
Enumeration date
11/21/2022
Last updated
11/21/2022
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