Individual
PAM N TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
537 ROUND LAKE DR, CALEDONIA, MI 49316-9225
(269) 355-0646
Mailing address
537 ROUND LAKE DR, CALEDONIA, MI 49316-9225
(269) 355-0646
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
MI
Other
Enumeration date
04/27/2019
Last updated
04/27/2019
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