Individual
JAYNE SUSAN TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
415 N SYCAMORE ST STE 200, SANTA ANA, CA 92701-4607
(714) 836-5082
Mailing address
415 N SYCAMORE ST STE 200, SANTA ANA, CA 92701-4607
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
507980
CA
Other
Enumeration date
02/12/2009
Last updated
02/12/2009
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