Individual
COLLEEN BOTOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5671 N SKEEL AVE STE 6, OSCODA, MI 48750-1535
(989) 747-3036
(989) 747-3037
Mailing address
1335 KUNZE RD, EAST TAWAS, MI 48730-9597
(989) 820-2881
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
4704311007
MI
Other
Enumeration date
08/16/2018
Last updated
08/16/2018
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