Individual
CARSANDRA YVONNE TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
1100 N GRAND AVE, MT. SAN ANTONIO COLLEGE, WALNUT, CA 91987
(909) 594-5611
(909) 468-4041
Mailing address
3126 S ADRIENNE DR, WEST COVINA, CA 91792-2105
(626) 964-0935
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
03/01/2007
Last updated
07/08/2007
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