Individual
DR. TAYLOR RAE BOMMARITO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
28050 GRAND RIVER AVE, FARMINGTON HILLS, MI 48336-5919
(947) 521-8000
Mailing address
4121 ALLEGHENY DR, TROY, MI 48085-3641
(248) 515-6190
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4704335355
MI
Other
Enumeration date
08/19/2024
Last updated
08/19/2024
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