Individual
TAHZI TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
19918 FLEETWOOD DR, HARPER WOODS, MI 48225-1640
(810) 258-8886
Mailing address
19918 FLEETWOOD DR, HARPER WOODS, MI 48225-1640
(810) 258-8886
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703117567
MI
Other
Enumeration date
08/24/2018
Last updated
08/24/2018
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