Individual
TAYLOR AXEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1693 SPENCE GATE CIR APT 306, VIRGINIA BEACH, VA 23456-6192
(469) 964-0306
Mailing address
1693 SPENCE GATE CIR APT 306, VIRGINIA BEACH, VA 23456-6192
(469) 964-0306
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
343906
MA
174N00000X
Lactation Consultant (Non-RN)
Primary
L-309926
—
Other
Enumeration date
07/27/2022
Last updated
12/14/2022
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