Individual
TAYLOR MARIE CHASTAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
B.S., B.A.
Contact information
Practice address
504 S PARK ST # 1, KALAMAZOO, MI 49007-5118
(269) 317-8744
Mailing address
504 S PARK ST # 1, KALAMAZOO, MI 49007-5118
(269) 317-8744
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
11/10/2013
Last updated
11/10/2013
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