Individual
ELLEN ESTABROOK TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
2200 TYDD ST, EUREKA, CA 95501-1284
(707) 441-1624
(707) 441-1253
Mailing address
670 NINTH STREET, SUITE 203, ARCATA, CA 95521
(707) 826-8633
(707) 826-8638
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA11331
CA
Other
Enumeration date
10/04/2006
Last updated
02/10/2017
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