MERSADDIES BOTKIN

LARAMIE, WY
NPI1669847190
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy172V00000X Community Health Worker
Enumeration Date2015-12-09
Last Update Date2015-12-09
Business Address
-- MERSADDIES BOTKIN
4989 N 3RD ST
LARAMIE, WY 82072-9548
Phone number: 307-745-8997
Mailing Address
-- MERSADDIES BOTKIN
4989 N 3RD ST
LARAMIE, WY 82072-9548
Phone number: 307-745-8997