Faith Bouttell

NPI #1609425966 in Wyoming, Minnesota

Provider Information

NPI Number
1609425966
Entity Type
Individual
Name
Faith Bouttell
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Technician - Attendant Care Provider
Enumeration Date
Sep 10, 2019
Last Updated
Sep 10, 2019

Practice Location

Address
25423 HEIMS LAKE CIRCLE
ZIP Code
55092
Phone
(651) 490-1738

Specialties & Taxonomy Codes

Specialty
Technician - Attendant Care ProviderAttendant Care Provider

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