Individual
MRS. DENISE TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4505 WINTERBOURNE DR, PETERSBURG, VA 23803-1724
(804) 526-1116
(804) 526-0023
Mailing address
4505 WINTERBOURNE DR, PETERSBURG, VA 23803-1724
(804) 526-1116
(804) 526-0023
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
839-01001
VA
Other
Enumeration date
04/17/2007
Last updated
07/08/2007
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