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Mistie Mae Taylor
Technician/Technologist in Los Angeles, California
NPI 1134704059

Mistie Mae Taylor is a Technician/Technologist based in Los Angeles, CA. Mistie Mae Taylor practices in Los Angeles, CA. The NPI Number for Mistie Mae Taylor is 1134704059 and holds a License No. (California).

The current practice location address for Mistie Mae Taylor is 11900 Avalon Blvd Ste 101, Los Angeles, CA and can be reached out via phone at 323-920-4959 and via fax at 323-920-4991.

Location: 11900 Avalon Blvd Ste 101, Los Angeles, CA, 90061-2867
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1134704059
Provider Name
Mistie Mae Taylor
Credential
Provider Entity Type
Individual
Gender
Female
Address
11900 Avalon Blvd Ste 101, Los Angeles, CA, 90061-2867
Phone Number
323-920-4959
Fax Number
323-920-4991
Provider Enumeration Date
03/11/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
11900 Avalon Blvd Ste 101
City
Los Angeles
State
California
Zip
90061-2867
Phone Number
323-920-4959
Fax Number
323-920-4991
person
Provider Business Mailing Address Details
Address
11900 Avalon Blvd Ste 101
City
Los Angeles
State
California
Zip
90061-2867
Phone Number
323-920-4959
Fax Number
323-920-4991
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
-
Taxonomy
156F00000X
License No.
()
Definition
A broad category grouping different kinds of technologists and technicians. See individual definitions.
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