Individual
MELISA TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
501 LOUISIANA ST, MANSFIELD, LA 71052-2621
(318) 872-5576
Mailing address
501 LOUISIANA ST, MANSFIELD, LA 71052-2621
(318) 872-5576
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
CAFPET061215-5
LA
Other
Enumeration date
06/17/2015
Last updated
06/25/2015
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