TAYLOR LANE KELLOGG

AUBURN, AL
NPI1700416203
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
(Licence: AL  S12765)
Enumeration Date2020-01-23
Last Update Date2020-01-23
Business Address
TAYLOR LANE KELLOGG
2038 LEE ROAD 137 LOT 310
AUBURN, AL 36832
Phone number: 706-255-6673
Mailing Address
TAYLOR LANE KELLOGG
2038 LEE ROAD 137 LOT 310
AUBURN, AL 36832
Phone number: 706-255-6673