Individual
MRS. MARY ELIZABETH CARROTHERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
21953 HALL RD, WOODHAVEN, MI 48183-1517
(616) 427-7389
Mailing address
21953 HALL RD, WOODHAVEN, MI 48183-1517
(616) 427-7389
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
11/19/2018
Last updated
11/19/2018
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