Individual
ASHLEY DANIELLE TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1555 COTTONDALE DR, BATON ROUGE, LA 70815-4162
(225) 993-1158
Mailing address
744 N ALLYSON DR, BATON ROUGE, LA 70815-4602
(225) 993-1158
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
1665091
TX
Other
Enumeration date
07/20/2017
Last updated
07/20/2017
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