Individual
BRIANA VERNELL TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5938 AGUSTA ST, PHILADELPHIA, PA 19149-3606
(717) 269-7679
Mailing address
5938 AGUSTA ST, PHILADELPHIA, PA 19149-3606
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
02/12/2020
Last updated
02/12/2020
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