Individual
OTTA EHIMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2832 PALO VERDE DR NE APT A, ALBUQUERQUE, NM 87112-2184
(512) 201-0194
Mailing address
2832 PALO VERDE DR NE APT A, ALBUQUERQUE, NM 87112-2184
(512) 201-0194
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
900438
TX
Other
Enumeration date
11/08/2021
Last updated
11/08/2021
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