Individual
ANDREA DARLENE TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
25708 W 12 MILE RD, APT 301, SOUTHFIELD, MI 48034-1875
(313) 550-1725
Mailing address
25708 W 12 MILE RD, APT 301, SOUTHFIELD, MI 48034-1875
(313) 550-1725
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
06/07/2016
Last updated
06/07/2016
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