Individual
DR. ATHENA VILLASENOR TAYLAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
768 MOUNTAIN RANCH RD, SAN ANDREAS, CA 95249-9707
(209) 736-0813
(209) 736-9088
Mailing address
4694 GRESHAM DR, EL DORADO HILLS, CA 95762-7624
(916) 941-7567
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
A066587
CA
Other
Enumeration date
02/26/2007
Last updated
07/08/2007
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