Individual
CAROL MARRACCINI-OTTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1850 SULLIVAN AVE, SUITE 330, DALY CITY, CA 94015-2221
(650) 756-5630
(650) 756-1964
Mailing address
1850 SULLIVAN AVE, SUITE 330, DALY CITY, CA 94015-2221
(650) 756-5630
(650) 756-1964
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA 19627
CA
Other
Enumeration date
02/20/2008
Last updated
11/21/2011
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