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Individual

TAYLOR PARKS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
17 AIRPORT RD, WARWICK, RI 02889-1001
(401) 606-2520
(401) 384-7190
Mailing address
117 ELLENFIELD ST STE 101, PROVIDENCE, RI 02905-4541

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA01666
RI
363A00000X
Physician Assistant
PA7731
MA

Other

Enumeration date
11/06/2020
Last updated
04/09/2024
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