Individual
ILEANA TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12800 E WARREN AVE, DETROIT, MI 48215-2061
(313) 824-8000
Mailing address
12800 E WARREN AVE, DETROIT, MI 48215-2061
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704325434
MI
Other
Enumeration date
01/07/2020
Last updated
01/07/2020
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