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Individual

MS. JUNE LATISHA-ANN OTTLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNP

Contact information

Practice address
5550 FRIENDSHIP BLVD STE 590, CHEVY CHASE, MD 20815-7310
(410) 757-2077
(240) 235-8720
Mailing address
8044 IANS ALY, LAUREL, MD 20724-6133
(240) 431-1525

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
RN1022763
DC
363LA2200X
Adult Health Nurse Practitioner
R155920
MD
363LG0600X
Gerontology Nurse Practitioner
R155920
MD
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
R155920
MD

Other

Enumeration date
03/25/2013
Last updated
04/07/2024
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