Individual
MS. LA TONYA RENEE TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNA1
Contact information
Practice address
125 PEGG AVE, KERNERSVILLE, NC 27284-2433
(336) 995-7816
(336) 996-2594
Mailing address
125 PEGG AVE, KERNERSVILLE, NC 27284-2433
(336) 995-7816
(336) 996-2594
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
55183
NC
Other
Enumeration date
06/03/2007
Last updated
07/08/2007
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