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Contact Information

SALLY BOTRUS
41054 RAWLING CT
INDIO, CA92203-4024
 Phone: 909-261-4432
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Vascular Specialist

246XC2903X
Indicates primary specialty

NPI Profile & details for SALLY BOTRUS · (Female)

NPI # 1821468505
Status Active
Credentials
Entity Individual
Enumeration date 10/07/2015
Last updated 10/07/2015 - About 11 years ago
Sole proprietor 1 Yes
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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