Individual
LOGAN MATTHEW TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
11410 E LENNON RD, LENNON, MI 48449-9666
(810) 621-4721
Mailing address
2450 KROUSE RD LOT 285, OWOSSO, MI 48867-9313
(269) 883-7117
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
02/26/2024
Last updated
02/26/2024
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