Individual
JENNIFER B TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
716 N ALFRED STREET, WEST HOLLYWOOD, CA 90069-5302
(310) 880-2695
Mailing address
716 N ALFRED STREET, WEST HOLLYWOOD, CA 90069-5302
(310) 880-2695
(517) 787-4146
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
2971
CA
367500000X
Certified Registered Nurse Anesthetist
RN086751
LA
Other
Enumeration date
07/03/2006
Last updated
10/04/2012
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