Individual
MRS. ANTOINETTE TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPT
Contact information
Practice address
611 MCKINLEY ST, GARY, IN 46404-1422
(708) 277-9033
Mailing address
611 MCKINLEY ST, GARY, IN 46404-1422
(708) 277-9033
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
—
—
Other
Enumeration date
11/01/2021
Last updated
11/01/2021
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