Individual
JAN TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1106 PALMER STREET EXT, MILTON, DE 19968-1042
(718) 249-6516
Mailing address
1106 PALMER STREET EXT, MILTON, DE 19968-1042
(718) 249-6516
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
DE
Other
Enumeration date
11/24/2020
Last updated
11/24/2020
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