Individual
SARAH BOTTORFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
996 W 128TH ST, GRANT, MI 49327-9660
(231) 414-1829
Mailing address
996 W 128TH ST, GRANT, MI 49327-9660
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703106661
MI
Other
Enumeration date
12/04/2024
Last updated
12/04/2024
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