Individual
MARIANO OTTONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS
Contact information
Practice address
500 FOOTHILL BLVD, SALT LAKE CITY, UT 84148-0001
(831) 594-3091
Mailing address
1127 W STONEHAVEN DR, NORTH SALT LAKE, UT 84054-5033
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/21/2025
Last updated
04/21/2025
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