Individual
DESIRRE TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4036 SENECA AVE, LORAIN, OH 44055-2631
(440) 654-7060
Mailing address
4036 SENECA AVE, LORAIN, OH 44055-2631
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
183875
OH
376K00000X
Nurse's Aide
402079420618
OH
Other
Enumeration date
01/08/2025
Last updated
01/08/2025
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