Individual
DEJA TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4068 GALLATIN DR, OBETZ, OH 43207-4391
(631) 633-1524
Mailing address
5306 RIFLE DR, CANAL WINCHESTER, OH 43110-9061
(614) 323-2204
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
—
—
374K00000X
Religious Nonmedical Practitioner
Primary
—
—
Other
Enumeration date
04/30/2021
Last updated
04/30/2021
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