Individual
KEISHAWN TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
401 N 28TH ST APT 336, LAS VEGAS, NV 89101-3916
(312) 610-0941
Mailing address
401 N 28TH ST APT 336, LAS VEGAS, NV 89101-3916
(312) 610-0941
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
03/08/2022
Last updated
03/08/2022
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