Antwahn Mack Taylor
Antwahn Mack Taylor is a Rehabilitation Practitioner in Henderson, Nevada. Registered with an NPI since 2019.
- In the registry since
- 2019
Practice location Address checks out
1644 Ravanusa DrHenderson, NV 89052-4071
Phone: (702) 672-9117
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Specialties & licences
| Rehabilitation Practitioner (primary) | Taxonomy 225400000X |
|---|
Record details
| NPI number | 1558910562 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | September 11, 2019 |
| Last updated in NPPES | September 11, 2019 |
| Mailing address | 1644 Ravanusa Dr, Henderson, NV 89052-4071 |
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