MISS Taylor Leigh Blevins

NPI #1174049332 in Wayne, Michigan

Provider Information

NPI Number: 1174049332
Entity Type: Individual
Name: MISS Taylor Leigh Blevins
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Chore Provider
Enumeration Date: Aug 19, 2017
Last Updated: Aug 19, 2017

Practice Location

Address: 4606 NEWBERRY ST.
City: Wayne
State: Michigan
ZIP Code: 48184-2302
Phone: (734) 516-0052

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chore Provider	372500000X	Primary

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