Individual
TAYLOR SCHRUNK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
18701 N 67TH AVE, GLENDALE, AZ 85308-7100
(877) 934-9355
Mailing address
1679 E TRADEWIND CT, GILBERT, AZ 85234-6147
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/08/2025
Last updated
04/08/2025
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