Individual
SHANNON TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
5323 D ST SE, WASHINGTON, DC 20019-6128
(240) 461-2965
Mailing address
5323 D ST SE, WASHINGTON, DC 20019-6128
(240) 461-2965
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
09/05/2013
Last updated
09/05/2013
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