Individual
TAYLOR MARIE BANKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8909 SORRENTO ST, DETROIT, MI 48228-2671
(313) 828-7862
Mailing address
8909 SORRENTO ST, DETROIT, MI 48228-2671
(313) 828-7862
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
09/03/2016
Last updated
09/03/2016
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