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Individual

BRENDA TAYLOR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
100 BLANKEN AVE, SAN FRANCISCO, CA 94134-2407
(415) 330-5740
Mailing address
100 BLANKEN AVE, SAN FRANCISCO, CA 94134-2407

Taxonomy

Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
946000417
MEDI-CAL
CA
Enumeration date
04/27/2017
Last updated
03/01/2019
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