Individual
TAYLOR LEIGH IRVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9811 W CHARLESTON BLVD # 2-641, LAS VEGAS, NV 89117-7528
(855) 864-4322
Mailing address
135 KEIGHER DR, MANTENO, IL 60950-1509
(815) 278-4456
Taxonomy
Speciality
Code
Description
License number
State
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
Primary
—
—
Other
Enumeration date
11/29/2018
Last updated
11/29/2018
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