Individual
ALEXIS TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COSMETIC TATTOO
Contact information
Practice address
303 CASEY AVE STE A, RICHLAND, WA 99352-4301
(509) 713-5561
Mailing address
3108 S LYLE ST, KENNEWICK, WA 99337-4448
(509) 713-5561
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
604655365-001-0001
WA
Other
Enumeration date
04/05/2022
Last updated
04/05/2022
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