Individual
PATRICE TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4417 CORPORATION LN # 445, VIRGINIA BEACH, VA 23462-3162
(757) 264-5707
Mailing address
4445 CORPORATION LN, VIRGINIA BEACH, VA 23462-3262
(757) 346-5707
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
1401091922
VA
Other
Enumeration date
09/14/2021
Last updated
09/14/2021
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