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Individual

LETICIA OTCHERE-DARKO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
19912
MS
207L00000X
Anesthesiology Physician
66819
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
08087069
MS
05
179012
AL
01
P00657496
RAILROAD MEDICARE
MS
01
P01402440
RR MEDICARE
MS
Enumeration date
06/28/2007
Last updated
10/02/2020
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