Individual
JENNIFER OTERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
428 LOS LENTES RD SE, LOS LUNAS, NM 87031-6018
(505) 865-3350
Mailing address
301 S CAMINO DEL PUEBLO, BERNALILLO, NM 87004-6276
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
11/27/2017
Last updated
11/27/2017
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