Most Relevant Information
Provider Data
| NPI Number: | 1003633058 |
| Provider Name: | CHANTAI TAYLOR |
| Entity Type: | Individual |
| Taxonomy Code: | 3747P1801X |
| Specialty: | Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 09/23/2024 |
| Last Updated: | 09/23/2024 |
Provider Practice Location
3615 N LAYMAN AVE
INDIANAPOLIS
IN
462181847
Practice Location Phone/Fax
| Phone: | 3176524799 |
| Fax: |
Provider Mailing Location
3615 N LAYMAN AVE
INDIANAPOLIS
IN
462181847
Provider Mailing Phone/Fax
| Phone: | 3176524799 |
| Fax: |