Individual
BETTY OTIENO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
175 GWINNETT DR, LAWRENCEVILLE, GA 30046-8444
(678) 209-2394
(678) 212-6343
Mailing address
4392 CHATUGE DR, BUFORD, GA 30519-1866
(678) 908-8731
(678) 908-8731
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
RN084632
GA
Other
Enumeration date
06/12/2014
Last updated
06/12/2014
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