Individual
RACHAEL OTTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
118 EUCLID ST, SAINT LOUIS, MI 48880-1901
(989) 317-6778
Mailing address
118 EUCLID ST, SAINT LOUIS, MI 48880-1901
(989) 317-6778
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704287898
MI
Other
Enumeration date
04/07/2019
Last updated
04/07/2019
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