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Individual

TAYLOR LYNN TUCKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CPNP

Contact information

Practice address
3950 BEAUBIEN ST, DETROIT, MI 48201-2166
(313) 832-9330
Mailing address
1666 BLOOMFIELD PLACE DR APT 347, BLOOMFIELD HILLS, MI 48302-0879
(313) 784-5784

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
4704333899
MI

Other

Enumeration date
12/28/2021
Last updated
12/28/2021
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