NPI 1184058646

Mary Bothwell, CSB

Practitioner Religious Nonmedical Practitioner Montrose, CA

Practice location

Address: 2409 Honolulu Ave STE 4, Montrose, CA 91020-1871
Phone: (626) 449-2003
Mailing address: 1710 Knollwood Dr, Pasadena, CA 91103-1908

Registered specialties

Religious Nonmedical Practitioner Primary

Nursing Service Related Providers Taxonomy 374K00000X

Other Religious Nonmedical Practitioner providers in California →

Registry record

NPI: 1184058646
Entity type: Individual
Sex (as registered): Female
NPI issued: 2 Sep 2013
Record last updated: 2 Sep 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.