Individual provider · NPI-1
Taylor Rae Abbey
Technician, Other · Dearborn Heights, MI
NPI number1306208863
StatusActive
Last updated in NPPESMar 24, 2016
Details
- NPI
- 1306208863
- Entity type
- Individual (NPI-1)
- Name
- Taylor Rae Abbey
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 24, 2016
- Last updated
- Mar 24, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 247200000X | Technician, Other | – | – | Yes |
Other names
- Taylor Rae Clark (Professional Name)
Practice location
6444 N Silvery LnDearborn Heights, MI 48127-2139
Phone 734-546-1033
Mailing address
6444 N Silvery LnDearborn Heights, MI 48127-2139
Phone 734-546-1033
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