Individual
JEFFREY SCOTT TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3206 SHAWNEE TRL, ALAMOGORDO, NM 88310-4021
(812) 212-4042
Mailing address
3206 SHAWNEE TRL, ALAMOGORDO, NM 88310-4021
(812) 212-4042
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
11/28/2017
Last updated
11/28/2017
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