Individual
JAN CARRIE BOTERF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2873 ROAD 250A, ANTWERP, OH 45813-9610
(419) 506-1594
Mailing address
2873 ROAD 250A, ANTWERP, OH 45813-9610
(419) 506-1594
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
10/28/2020
Last updated
10/28/2020
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