Individual
TOLEKA REGINA TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
ST. JOHN MACOMB HOSPITAL, 11800 EAST 12 MILE ROAD, WARREN, MI 48093
(586) 576-4031
Mailing address
11620 HERBERT AVE, WARREN, MI 48089-1239
(313) 704-1486
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4704266831
MI
Other
Enumeration date
10/05/2020
Last updated
10/05/2020
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