Individual
MR. DUSTIN EUGENE TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9849 17TH AVE SW # 127, SEATTLE, WA 98106-2714
(206) 295-0427
Mailing address
9849 17TH AVE SW # 127, SEATTLE, WA 98106-2714
(206) 295-0427
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
60592315
WA
Other
Enumeration date
08/26/2016
Last updated
02/07/2017
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