Individual
COURTNEY KOTEWA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12900 PARK PLAZA DRIVE, SUITE 150, CERRITOS, CA 90703
(989) 714-7861
Mailing address
2552 HALL ST SE, GRAND RAPIDS, MI 49506-3568
(989) 714-7861
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704270430
MI
363L00000X
Nurse Practitioner
Primary
4704270430
MI
Other
Enumeration date
02/13/2021
Last updated
04/26/2023
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