Individual
SAMARA TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
22200 W 11 MILE RD UNIT 2966, SOUTHFIELD, MI 48037-7079
(248) 403-0925
Mailing address
22200 W 11 MILE RD UNIT 2966, SOUTHFIELD, MI 48037-7079
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
02/18/2016
Last updated
02/18/2016
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