Jemal Vas Taylor
Specialist in San Francisco, CA. Individual provider (NPI-1).
NPI number1164190815
StatusActive
Last updated in NPPESAug 30, 2021
Details
- NPI
- 1164190815
- Entity type
- Individual (NPI-1)
- Name
- Jemal Vas Taylor
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 30, 2021
- Certification date
- Aug 30, 2021
- Last updated
- Aug 30, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 174400000X | Specialist | – | – | Yes |
Practice location
1638 Kirkwood AveSan Francisco, CA 94124-2137
Phone 415-814-3254
Mailing address
1638 Kirkwood AveSan Francisco, CA 94124-2137
Phone 510-282-5378
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