Individual
CANS OTTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
3188 RIDGE CT, PLACERVILLE, CA 95667-5815
(530) 919-7155
Mailing address
3188 RIDGE CT, PLACERVILLE, CA 95667-5815
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
CA
Other
Enumeration date
09/06/2024
Last updated
03/20/2025
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