Individual
KATYA BARTLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
210 FITZHUGH ST APT 200, BAY CITY, MI 48708-7180
(989) 992-0619
Mailing address
210 FITZHUGH ST APT 214, BAY CITY, MI 48708-7180
(989) 359-2408
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8000880216029
MOLINA
MI
Enumeration date
10/02/2021
Last updated
10/02/2021
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