Individual
MAKYNLEE ROSE TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1640 BROADWAY ST, ANDERSON, IN 46012-2445
(765) 274-6975
Mailing address
1640 BROADWAY ST, ANDERSON, IN 46012-2445
(765) 274-6975
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
11/09/2022
Last updated
11/09/2022
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