Individual
PROF. YVETTE FORTNER BUTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PCA
Contact information
Practice address
109 EASTHAVEN DR, CLINTON, MS 39056-5319
(601) 941-0055
Mailing address
123A HIGHWAY 80 E, CLINTON, MS 39056-4738
(601) 941-0556
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
MS
3747P1801X
Personal Care Attendant
—
—
Other
Enumeration date
10/05/2021
Last updated
10/05/2021
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