Individual
TAYLOR MCDONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
1150 W 10TH ST, CORONA, CA 92882-3901
(951) 394-2434
Mailing address
2088 E LAKESHORE DR APT 236, LAKE ELSINORE, CA 92530-4482
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2000027303
CA
Other
Enumeration date
07/17/2017
Last updated
07/17/2017
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