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Individual

ADALINE YVETTE OTERO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
715 NORTH BROADWAY APT 312 BLDG B, ESCONDIDO, CA 92025-9202
(401) 486-4285
Mailing address
715 N BROADWAY APT 312, ESCONDIDO, CA 92025-1882
(401) 486-4285

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
NP95174217
CA

Other

Enumeration date
10/09/2020
Last updated
10/09/2020
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