Marisa Taylor-edwards MA,ATC

NPI 1093102048 - Specialist/Technologist - 2255A2300X

NPI Details
NPI 1093102048
Gender Female
Enumeration Date 04/16/2015
Last Updated 04/16/2015
Entity Type Individual
Active Over 1 year ago
Practice Location
1409 S ARDILLA AVE
WEST COVINA CA, 91790-2407, US
Phone (626) 806-2127
Fax
Business Location
1409 S ARDILLA AVE
WEST COVINA CA, 91790-2407, US
Phone (626) 806-2127
Fax
Toxanomy
Taxonomy Code 2255A2300X
License State California
License Number 020102013
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According to our database, Mrs. Marisa Taylor-edwards MA,ATC NPI is 1093102048, taxonomy code is 2255A2300X and license number is 020102013, license state is located at California. Marisa Taylor-edwards MA,ATC physically located at 1409 S Ardilla Ave, West Covina CA, 91790-2407. NPI Number Marisa Taylor-edwards MA,ATC has the Individual type.

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1093102048 NPI number is provided on an as is basis without warranty of any kind. 1093102048 is maintained by the National Plan & Provider Enumeration System. The contents of Marisa Taylor-edwards MA,ATC are for informational purposes only.