Individual
MARYBETH TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
261 MACK AVE # 215, DETROIT, MI 48201-2417
(616) 540-2829
Mailing address
31885 ALLISON DR, FARMINGTON HILLS, MI 48334-4505
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
10/24/2019
Last updated
10/24/2019
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