Taylor R O'Connor
Case Manager/Care Coordinator in Sonora, CA. Individual provider (NPI-1).
NPI number1194351353
StatusActive
Last updated in NPPESMar 19, 2020
Details
- NPI
- 1194351353
- Entity type
- Individual (NPI-1)
- Name
- Taylor R O'Connor
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 19, 2020
- Certification date
- Mar 19, 2020
- Last updated
- Mar 19, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171M00000X | Case Manager/Care Coordinator | – | – | Yes |
Practice location
105 Hospital RdSonora, CA 95370-5227
Phone 209-533-6245
Mailing address
2 S Green StSonora, CA 95370-4618
Phone 209-533-6245
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