Most Relevant Information
Provider Data
| NPI Number: | 1003469875 |
| Provider Name: | TAYLOR ANNE DONOVAN |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 07/22/2019 |
| Last Updated: | 07/22/2019 |
Provider Practice Location
347 MIDWAY BLVD STE 210
ELYRIA
OH
440352496
Practice Location Phone/Fax
| Phone: | 4403245555 |
| Fax: |
Provider Mailing Location
33324 LAKE RD
AVON LAKE
OH
440121270
Provider Mailing Phone/Fax
| Phone: | 4403089967 |
| Fax: |