JACOBUS BOTHA

SOUTHFIELD, MI
NPI1992639967
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2026-06-12
Last Update Date2026-06-12
Business Address
JACOBUS BOTHA M.D.
22250 PROVIDENCE DRIVE SUITE #703A
SOUTHFIELD, MI 48075-4818
Phone number: 248-849-5862
Mailing Address
JACOBUS BOTHA M.D.
22250 PROVIDENCE DRIVE SUITE #703A
SOUTHFIELD, MI 48075-4818
Phone number: 248-849-5862
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