Individual
KARENA ANTOINETTE TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6407 IRA AVE, BROOKLYN, OH 44144-3770
(216) 849-7311
Mailing address
6407 IRA AVE, BROOKLYN, OH 44144-3770
(216) 849-7311
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
TJ962700
OH
Other
Enumeration date
10/05/2022
Last updated
10/05/2022
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