Individual
JOSE RAFAEL OTERO GOLLARZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RNFA
Contact information
Practice address
5281 RIVER GLEN DR UNIT 225, LAS VEGAS, NV 89103-8756
(702) 936-2635
Mailing address
5281 RIVER GLEN DR UNIT 225, LAS VEGAS, NV 89103-8756
(702) 936-2635
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
RN9614513
FL
246ZC0007X
Surgical Assistant
22-122
NV
Other
Enumeration date
11/24/2022
Last updated
11/28/2022
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