Individual
DISHAYNA TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
222 E MAIN ST, BARSTOW, CA 92311-2361
(760) 255-1496
Mailing address
222 E MAIN ST, BARSTOW, CA 92311-2361
(760) 255-1496
Taxonomy
Speciality
Code
Description
License number
State
1710I1003X
Independent Duty Medical Technicians
Primary
—
—
Other
Enumeration date
10/31/2023
Last updated
10/31/2023
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