Individual
MRS. KATRINA LYNNE OTTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
52 N TU SU LN, BISHOP, CA 93514-8058
(760) 873-8851
(760) 873-6362
Mailing address
395 SIERRA ST APT S, BISHOP, CA 93514-2308
(760) 873-8851
(760) 873-6362
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
916884
CA
Other
Enumeration date
10/13/2008
Last updated
10/13/2008
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