Individual
DETRIA TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
421 GARLAND ST, APT 203, FLINT, MI 48503-2517
(810) 908-4363
Mailing address
421 GARLAND ST, APT 203, FLINT, MI 48503-2517
(810) 908-4363
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
—
—
372500000X
Chore Provider
Primary
—
—
372600000X
Adult Companion
—
—
374J00000X
Doula
—
—
Other
Enumeration date
04/16/2014
Last updated
04/16/2014
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