Individual
TAYLOR RAYMOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
338 RAGLE RD, LONGVILLE, LA 70652-7065
(409) 651-4663
Mailing address
3190 EASTEX FWY APT 212, BEAUMONT, TX 77703-2653
(409) 651-4663
Taxonomy
Speciality
Code
Description
License number
State
146D00000X
Personal Emergency Response Attendant
Primary
—
—
Other
Enumeration date
05/20/2021
Last updated
05/20/2021
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