Individual
TAYLOR DEACON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN, LDN
Contact information
Practice address
1116 TIMBERCREEK DR APT 29, GRAND LEDGE, MI 48837-2306
(517) 526-5368
Mailing address
14716 DOGWOOD DR, PLYMOUTH, MI 48170-2700
(517) 526-5368
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86167503
MI
Other
Enumeration date
07/31/2020
Last updated
08/23/2024
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