Individual
TAYLOR FARR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6777 REGAL PARK DR, FONTANA, CA 92336-5503
(909) 202-9140
Mailing address
6777 REGAL PARK DR, FONTANA, CA 92336-5503
(909) 202-9140
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SPA8009
CA
Other
Enumeration date
06/27/2024
Last updated
06/27/2024
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