Individual
KARL CORNELIOUS COTTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
946 MONROE ST, BENTON HARBOR, MI 49022-4832
(269) 277-9142
Mailing address
946 MONROE ST, BENTON HARBOR, MI 49022-4832
(269) 277-9142
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9210905
—
MI
Enumeration date
07/02/2020
Last updated
07/02/2020
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