Judi Potts

NPI #1154778231 in Shelby Twp, Michigan

Provider Information

NPI Number: 1154778231
Entity Type: Individual
Name: Judi Potts
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Technician, Other
Enumeration Date: May 19, 2016
Last Updated: May 19, 2016

Practice Location

Address: 48487 LANCE CREEK CT
City: Shelby Twp
State: Michigan
ZIP Code: 48315-4286
Phone: (586) 709-8859

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician, Other	247200000X	Primary

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