Individual
MALENDIA EADS TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AUD
Contact information
Practice address
3017 13TH ST, GULFPORT, MS 39501-1833
(228) 863-6592
Mailing address
15625 RUE DAUPHINE CIR, BILOXI, MS 39532-5632
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
4652
MS
231H00000X
Audiologist
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/07/2020
Last updated
06/25/2020
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