Jacob Lee Taylor

NPI 1376790444 - Licensed Psychiatric Technician - 167G00000X

NPI Details
NPI 1376790444
Gender Male
Enumeration Date 08/20/2008
Last Updated 08/20/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
13716 MONTEREY AVE
BALDWIN PARK CA, 91706-4057, US
Phone (626) 485-6390
Fax
Business Location
13716 MONTEREY AVE
BALDWIN PARK CA, 91706-4057, US
Phone (626) 485-6390
Fax
Toxanomy
Taxonomy Code 167G00000X
License State California
License Number 34166
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According to our database, Mr. Jacob Lee Taylor NPI is 1376790444, taxonomy code is 167G00000X and license number is 34166, license state is located at California. Jacob Lee Taylor physically located at 13716 Monterey Ave, Baldwin Park CA, 91706-4057. NPI Number Jacob Lee Taylor has the Individual type.

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1376790444 NPI number is provided on an as is basis without warranty of any kind. 1376790444 is maintained by the National Plan & Provider Enumeration System. The contents of Jacob Lee Taylor are for informational purposes only.