Individual
MR. DAWN ARLEEN OTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1103 26TH ST, FORT GEORGE G MEADE, MD 20755-1251
(410) 674-2355
Mailing address
1385 TRYSTY FRIEND PL, SEVERN, MD 21144-1822
(410) 551-6347
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
R078890
MD
Other
Enumeration date
04/24/2007
Last updated
07/08/2007
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