Individual
JESSICA1 OTTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
27070 SUN CITY BLVD, SUN CITY, CA 92586-2509
(951) 381-0750
Mailing address
27070 SUN CITY BLVD, SUN CITY, CA 92586-2509
(951) 381-0750
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
RBT-18-66017
CA
Other
Enumeration date
09/27/2018
Last updated
09/27/2018
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