Individual
MRS. MARTHA MARIE OTTLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
335 E AVENUE I, LANCASTER, CA 93535-1916
(661) 471-4020
(661) 524-2950
Mailing address
1644 E AVENUE J3, LANCASTER, CA 93535-6730
(661) 729-2907
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
525795
CA
Other
Enumeration date
07/04/2017
Last updated
07/04/2017
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