Individual
JORDAN NICHOLE TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8623 N WAYNE RD, WESTLAND, MI 48185-1137
(734) 458-4601
Mailing address
30650 MASON CT, LIVONIA, MI 48154-4334
(248) 787-0267
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/04/2015
Last updated
02/04/2015
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