Individual
TIM JARRELL TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
30500 ARRASTRE CANYON RD, ACTON, CA 93510-2160
(661) 223-8773
Mailing address
30500 ARRASTRE CANYON RD, ACTON, CA 93510-2160
(661) 223-8773
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
CA
Other
Enumeration date
04/27/2020
Last updated
04/27/2020
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