Most Relevant Information
Provider Data
NPI Number: | 1003343161 |
Provider Name: | ANTOINETTE TAYLOR |
Entity Type: | Individual |
Taxonomy Code: | 1041C0700X |
Specialty: | Social Worker |
License Number: | ASW72455 |
Most Important Dates
Enumeration Date: | 05/18/2017 |
Last Updated: | 05/18/2017 |
Provider Practice Location
5325 BRODER BLVD
DUBLIN
CA
945683309
Practice Location Phone/Fax
Phone: | 9255516500 |
Fax: |
Provider Mailing Location
1050 VALLEY OAK WAY
FAIRFIELD
CA
945331659
Provider Mailing Phone/Fax
Phone: | |
Fax: |