Individual
MS. LEILA ADHIAMBO OTIENO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
700 HIGH ST, WILLIAMSPORT, PA 17701-3100
(570) 321-1000
Mailing address
5112 MORNING DOVE WAY, PERRY HALL, MD 21128-9844
(443) 768-0423
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R192707
MD
Other
Enumeration date
05/02/2009
Last updated
03/01/2019
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