Individual
SANDRA TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8640 TAMARACK ST, TEMPERANCE, MI 48182-9257
(419) 376-3458
Mailing address
8640 TAMARACK ST, TEMPERANCE, MI 48182-9257
(419) 376-3458
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
10/10/2016
Last updated
10/10/2016
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