ALLISON KOTTACKAL

BENTON HARBOR, MI
NPI1427478049
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: IL  209011039)
Enumeration Date2014-04-22
Last Update Date2022-05-31
Business Address
ALLISON KOTTACKAL FNP
1022 E MAIN ST
BENTON HARBOR, MI 49022-3036
Phone number: 269-926-0015
Mailing Address
ALLISON KOTTACKAL FNP
1022 E MAIN ST
BENTON HARBOR, MI 49022-3036
Phone number: 269-926-0015