Individual
CANDACE OTTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T.
Contact information
Practice address
5301 WESTBARD CIR, 225, BETHESDA, MD 20816-1401
(301) 907-0153
(301) 907-0153
Mailing address
5301 WESTBARD CIR, 225, BETHESDA, MD 20816-1401
(301) 907-0153
(301) 907-0153
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
M02618
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12099942
COUNCIL FOR AFFORDABLE QUALITY HEALTHCARE (CAQH)
MD
Enumeration date
06/03/2010
Last updated
06/03/2010
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