Individual
AMY-GRACE POTHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
200 AVENUE F NE, WINTER HAVEN, FL 33881-4131
(863) 293-1121
Mailing address
200 AVENUE F NE, WINTER HAVEN, FL 33881-4131
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/05/2024
Last updated
04/05/2024
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