Individual
LATONYA TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6843 GALLOP CV, CORDOVA, TN 38018-8861
(901) 734-4034
Mailing address
6843 GALLOP CV, CORDOVA, TN 38018-8861
(901) 734-4034
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
12/15/2020
Last updated
12/15/2020
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