Individual
TERESA TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5145 N 124TH ST, BUTLER, WI 53007-1334
(262) 923-7741
(262) 923-7744
Mailing address
PO BOX 100173, MILWAUKEE, WI 53210-0173
(414) 736-1244
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
12/02/2016
Last updated
02/14/2019
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