DANIEL PRESTON BOTULA

LOUISA, KY
NPI1780382382
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy175T00000X Peer Specialist
Enumeration Date2023-02-22
Last Update Date2023-02-22
Business Address
DANIEL PRESTON BOTULA PSS
125 S MAIN CROSS ST
LOUISA, KY 41230-1065
Phone number: 606-638-0938
Mailing Address
DANIEL PRESTON BOTULA PSS
125 S MAIN CROSS ST
LOUISA, KY 41230-1065
Phone number: 606-638-0938