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Individual

TAYLOR JONES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
2904 W HORIZON RIDGE PKWY STE 101, HENDERSON, NV 89052-5016
(702) 292-3774
Mailing address
1832 WALKER LN, HENDERSON, NV 89014-4012
(702) 454-2178

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
100068267-02
HEALTH PLAN OF NEVADA
NV
01
970186528-04
HEALTH PLAN OF NEVADA
NV
Enumeration date
10/28/2013
Last updated
10/28/2013
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