Individual
TANYA LYNN TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
19285 BEAVERLAND ST, DETROIT, MI 48219-5504
(313) 677-8010
Mailing address
5805 MARSEILLES ST, DETROIT, MI 48224-1321
(313) 677-8010
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
04/15/2024
Last updated
04/15/2024
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