Individual
SHIRLEY TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3461 SUNNYSIDE DR APT 7, PORTAGE, IN 46368-4286
(219) 614-2080
(219) 850-4320
Mailing address
3461 SUNNYSIDE DR APT 7, PORTAGE, IN 46368-4286
(219) 614-2080
(219) 850-4320
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
MS
Other
Enumeration date
12/16/2021
Last updated
12/16/2021
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