Individual
MICHIYO S BOTTJER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4803 WARD RD, WHEAT RIDGE, CO 80033-1902
(303) 743-5855
Mailing address
15790 W 10TH AVE, GOLDEN, CO 80401-3908
(303) 278-0875
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
007392
KAISER-COMMERCIAL NUMBER
—
Enumeration date
02/16/2007
Last updated
07/08/2007
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