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Derek Anthony Taylor

Case Manager/Care Coordinator in Sacramento, CA. Individual provider (NPI-1).

NPI number1164093472
StatusActive
Last updated in NPPESJul 7, 2021

Details

NPI
1164093472
Entity type
Individual (NPI-1)
Name
Derek Anthony Taylor
Sex
Male
Sole proprietor
No
Enumeration date
Jul 7, 2021
Certification date
Jul 7, 2021
Last updated
Jul 7, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
171M00000X Case Manager/Care Coordinator––Yes

Practice location

2150 Stockton Blvd
Sacramento, CA 95817-1337

Phone 916-875-1000

Mailing address

2150 Stockton Blvd
Sacramento, CA 95817-1337

Phone 916-875-1000

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