Individual
JACQUELINE DANIELLE OLTREMARI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
269 S CANDY LN, COTTONWOOD, AZ 86326-4158
(928) 634-1331
Mailing address
5850 E STILL CIR, MESA, AZ 85206-3618
(562) 322-8220
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
11065
AZ
363A00000X
Physician Assistant
—
—
Other
Enumeration date
06/05/2023
Last updated
08/06/2025
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