Individual
CRYSTAL TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1315 OAKFIED DR #101, BRANDON, FL 33509-3350
(813) 847-9058
Mailing address
PO BOX 393, SEFFNER, FL 33583-0393
(813) 409-4883
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
5225571
FL
251E00000X
Home Health Agency
—
—
Other
Enumeration date
05/13/2020
Last updated
05/13/2020
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