Individual
LOU ANN BOTSFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
7293 POST RD, NORTH KINGSTOWN, RI 02852-3212
(401) 486-9113
Mailing address
7293 POST RD, NORTH KINGSTOWN, RI 02852-3212
(401) 486-9113
(401) 383-6065
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
MT01387
RI
Other
Enumeration date
02/06/2017
Last updated
08/18/2020
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