Individual
MR. TAYLOR ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3320 HONOLULU AVE APT 11, LA CRESCENTA, CA 91214-3389
(818) 644-9491
Mailing address
3320 HONOLULU AVE APT 11, LA CRESCENTA, CA 91214-3389
(818) 644-9491
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
10/28/2020
Last updated
10/28/2020
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