Individual
PAMELA TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
795 36TH STREET SE, GRAND RAPIDS, MI 49501-2319
(616) 301-8000
Mailing address
795 36TH ST SE, GRAND RAPIDS, MI 49548-2319
(616) 301-8000
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704175998
MI
Other
Enumeration date
03/26/2015
Last updated
03/26/2015
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