Conchetta Taylor
NPI #1538714985 in San Augustine, Texas
Provider Information
- NPI Number
- 1538714985
- Entity Type
- Individual
- Name
- Conchetta Taylor
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- Aug 2, 2019
- Last Updated
- Aug 2, 2019
Practice Location
- Address
- 305 IRONOSA ST
- City
- San Augustine
- State
- Texas
- ZIP Code
- 75972-1721
- Phone
- (936) 201-9869
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Practical Nurse |
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