Individual
BETHANY JOY TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
929 SPRING ST, PLACERVILLE, CA 95667-4543
(530) 621-6224
Mailing address
929 SPRING ST, PLACERVILLE, CA 95667-4543
(530) 621-6224
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
11/18/2014
Last updated
11/18/2014
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