Most Relevant Information
Provider Data
| NPI Number: | 1003255647 |
| Provider Name: | ANTONETTE TAYLOR |
| Entity Type: | Individual |
| Taxonomy Code: | 376K00000X |
| Specialty: | Nurse's Aide |
| License Number: | 401338671211 |
Most Important Dates
| Enumeration Date: | 06/17/2013 |
| Last Updated: | 06/17/2013 |
Provider Practice Location
3309 W 41ST
CLEVELAND
OH
441091215
Practice Location Phone/Fax
| Phone: | 2167540944 |
| Fax: |
Provider Mailing Location
3309 W 41ST
CLEVELAND
OH
441091215
Provider Mailing Phone/Fax
| Phone: | 2167540944 |
| Fax: |