Individual
JESSICA DEANDRA TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3469 SE COUNTY ROAD 337, TRENTON, FL 32693-4581
(352) 214-9474
Mailing address
3469 SE COUNTY ROAD 337, TRENTON, FL 32693-4581
(352) 214-9474
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
FL
Other
Enumeration date
07/07/2014
Last updated
07/07/2014
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