Individual
MELODY TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
147 GURDON ST, BRIDGEPORT, CT 06606-5032
(917) 873-9745
Mailing address
147 GURDON ST, BRIDGEPORT, CT 06606-5032
(917) 873-9745
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
290771
NY
Other
Enumeration date
10/28/2009
Last updated
10/28/2009
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