Individual
ALENA OTERO
Active
Individual
ALENA OTERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA053010
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
232664784
TAX ID
PA
Enumeration date
01/23/2008
Last updated
03/19/2018
Update your record
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