Individual
ELLISE MONE'T TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
43055 CARLYLE PL APT 120, CLINTON TOWNSHIP, MI 48038-6148
(313) 804-6358
Mailing address
22430 GRATIOT AVE UNIT 658, EASTPOINTE, MI 48021-7030
(313) 804-6358
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
10/12/2018
Last updated
10/12/2018
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