TAYLOR DIANNE MATAKIS

FARIBAULT, MN
NPI1366084600
Former NameTAYLOR DIANNE MUNIZ
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy176B00000X Midwife
(Licence: MN  1082)
Additional Taxonomies176B00000X Midwife
(Licence: TX  99386)
Enumeration Date2019-10-08
Last Update Date2020-09-24
Business Address
TAYLOR DIANNE MATAKIS CPM
20 12TH ST NE
FARIBAULT, MN 55021-3812
Phone number: 254-290-7702
Mailing Address
TAYLOR DIANNE MATAKIS CPM
20 12TH ST NE
FARIBAULT, MN 55021-3812
Phone number: 254-290-7702