Individual
MS. CHANNIN TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
76 CAMP ST, PROVIDENCE, RI 02906-1737
(757) 334-0871
Mailing address
76 CAMP ST, PROVIDENCE, RI 02906-1737
(757) 334-0871
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
NA16044-T
RI
Other
Enumeration date
08/22/2011
Last updated
08/22/2011
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