Individual
MS. FAITH ADZOVI BOTCHEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
17672 MONROE DR, LATHROP, CA 95330-8484
(484) 340-0267
Mailing address
2005 HARBOR RIDGE CT, BUFORD, GA 30518-6600
(484) 340-0267
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN188218
GA
363LG0600X
Gerontology Nurse Practitioner
Primary
363L00000X
GA
Other
Enumeration date
10/23/2013
Last updated
02/12/2024
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