Individual
AUDREY TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
MSC105590 1 UNIVERSITY OF NEW MEXICO, ALBUQUERQUE, NM 87131-4238
(505) 272-2345
(505) 272-2374
Mailing address
MSC10 5590 1 UNIVERSITY OF NEW MEXICO, ALBUQUERQUE, NM 87131-0001
(505) 272-2345
(505) 272-2374
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
DOL.OL.61310784
NM
390200000X
Student in an Organized Health Care Education/Training Program
DOL.OL.61310784
WA
Other
Enumeration date
04/13/2020
Last updated
04/15/2024
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