Individual
JOHNNA TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
74 HAZELWOOD, HOLDEN, WV 25625
(304) 896-2108
Mailing address
PO BOX 292, HOLDEN, WV 25625-0292
(304) 896-2108
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
04/07/2021
Last updated
04/07/2021
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