Individual
CANDICE TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1700 WATERMAN ST, DETROIT, MI 48209-2022
(313) 841-8900
(313) 849-2702
Mailing address
1720 BAGLEY ST, DETROIT, MI 48216-1911
(313) 550-0715
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
01/15/2019
Last updated
01/15/2019
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