Individual
MR. TAYLOR LYLE MAGALLANES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2975 CA-246, SANTA YNEZ, CA 93460-2701
(805) 688-6488
Mailing address
PO BOX 573, LOS OLIVOS, CA 93441-0573
(805) 245-8450
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/04/2020
Last updated
01/08/2025
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