Individual
MS. RACHEL OTIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MLS
Contact information
Practice address
5330 S HIGHWAY 95, FORT MOHAVE, AZ 86426-9225
(948) 788-7189
Mailing address
2688 DIRLETON PL, HENDERSON, NV 89044-8791
Taxonomy
Speciality
Code
Description
License number
State
246Q00000X
Pathology Specialist/Technologist
Primary
10892
NV
Other
Enumeration date
03/03/2020
Last updated
03/03/2020
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