Individual
MRS. HOLLY MAE KOTCHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPRC
Contact information
Practice address
400 STODDARD RD, RICHMOND, MI 48062-2505
(810) 392-2167
(810) 392-3530
Mailing address
2630 REEVES RD, RILEY, MI 48041-1413
(810) 660-1410
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
04/22/2022
Last updated
04/22/2022
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