Individual
CLEMEN BOTONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3717 TAYLORSVILLE RD, 1ST FLOOR, LOUISVILLE, KY 40220-1333
(502) 589-8600
(502) 589-8771
Mailing address
101 W MUHAMMAD ALI BLVD, LOUISVILLE, KY 40202-1423
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
1062719
KY
Other
Enumeration date
05/15/2013
Last updated
05/20/2013
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