Individual
MS. MARY JAYNE OTTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN MS
Contact information
Practice address
70 S WILLOW ST, JACKSON, WY 83001
(307) 733-1777
(307) 733-1781
Mailing address
PO BOX 433, 70 S WILLOW ST, JACKSON, WY 83001
(307) 733-1777
(307) 733-1781
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
7821
WY
Other
Enumeration date
09/02/2009
Last updated
09/02/2009
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