Individual
CHERYL BOTTING-HAMMACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
2428 N STOKESBERRY PL, MERIDIAN, ID 83646-5035
(208) 939-3888
(208) 939-5599
Mailing address
2428 N STOKESBERRY PL, MERIDIAN, ID 83646-5035
(208) 939-3888
(208) 939-5599
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
05/29/2014
Last updated
05/29/2014
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