Individual
RANDI J VOTAVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
1107 STONE ST, SUITE 5, PORT HURON, MI 48060-3569
(810) 985-9300
(810) 985-9393
Mailing address
1107 STONE ST, SUITE 5, PORT HURON, MI 48060-3569
(810) 985-9300
(810) 985-9393
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704237166
MI
Other
Enumeration date
01/30/2008
Last updated
11/14/2012
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