Individual
MICHAEL DAMONTA TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
154 PINE HILL CT, BRODNAX, VA 23920-3331
(804) 821-7245
Mailing address
154 PINE HILL CT, BRODNAX, VA 23920-3331
(804) 821-7245
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
VA
Other
Enumeration date
08/05/2020
Last updated
08/06/2020
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