Individual
GUINEVERE OTTESEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1520 TRAMWAY BLVD NE, ALBUQUERQUE, NM 87112-4655
(505) 266-6121
Mailing address
1413 GEORGIA ST NE, ALBUQUERQUE, NM 87110-6860
(505) 507-4157
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
NDP-2025-0205
NM
Other
Enumeration date
10/27/2025
Last updated
10/27/2025
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