Individual provider · Type 1 NPI
Mary Bothwell, C.S.B.
Religious Nonmedical Practitioner · Montrose, CA
NPI number
1184058646
Active
Practice location
2409 Honolulu Ave Ste 4
Montrose, CA 91020-1871
Mailing address
1710 Knollwood Dr
Pasadena, CA 91103-1908
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Religious Nonmedical Practitioner Primary | 374K00000X | None listed |
Religious Nonmedical Practitioner: A religious nonmedical practitioner offers spiritually-based care. Services may be rendered in an office, home, or care facility or by phone, email, or written correspondence.
About NPI 1184058646
Mary Bothwell, C.S.B.'s National Provider Identifier is 1184058646, issued on Sep 2, 2013. The primary taxonomy on file is Religious Nonmedical Practitioner (374K00000X), and the practice location is in Montrose, CA. The record was last updated on Sep 2, 2013.