Individual
TAYLOR ANNE TICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11 HOPE RD STE 201, STAFFORD, VA 22554-7287
(540) 225-1020
(540) 205-6939
Mailing address
13576 DEN HOLLOW CT, MANASSAS, VA 20112-5545
(610) 392-7636
Taxonomy
Speciality
Code
Description
License number
State
2279G1100X
General Care Registered Respiratory Therapist
Primary
—
—
Other
Enumeration date
08/05/2020
Last updated
08/05/2020
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