Individual
TAYLOR MACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, CLC
Contact information
Practice address
263 HIDDEN VILLAGE CT, HOLLAND, OH 43528-6602
(517) 410-5494
Mailing address
263 HIDDEN VILLAGE CT, HOLLAND, OH 43528-6602
(517) 410-5494
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
4707335337
MI
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
RN.464564
OH
Other
Enumeration date
03/03/2021
Last updated
03/03/2021
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