Taylor Devall
Technician, Other in Moorhead, MN. Individual provider (NPI-1).
NPI number1093376519
StatusActive
Last updated in NPPESJun 25, 2019
Details
- NPI
- 1093376519
- Entity type
- Individual (NPI-1)
- Name
- Taylor Devall
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 25, 2019
- Last updated
- Jun 25, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 247200000X | Technician, Other | – | – | Yes |
Practice location
891 Belsly BlvdMoorhead, MN 56560-5055
Phone 218-287-4338
Mailing address
891 Belsly BlvdMoorhead, MN 56560-5055
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