Individual
TORIE SHATITA TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
22556 W MCNICHOLS RD, DETROIT, MI 48219-3140
(313) 721-6051
Mailing address
22556 W MCNICHOLS RD, DETROIT, MI 48219-3140
(313) 721-6051
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703110413
MI
Other
Enumeration date
04/14/2020
Last updated
04/14/2020
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