Individual
SHALITA BOUTTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
500 HANCOCK ST, SAGINAW, MI 48602-4224
(989) 272-7291
Mailing address
500 HANCOCK ST, SAGINAW, MI 48602-4224
(989) 272-7291
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
07/26/2016
Last updated
07/26/2016
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