Individual
TEANNA TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1616 CAPITOL WAY, BISMARCK, ND 58501-2100
(701) 595-3762
Mailing address
1616 CAPITOL WAY, BISMARCK, ND 58501-2100
(701) 595-3762
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/29/2016
Last updated
02/29/2016
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