Individual
TANIA OTERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
90 MCGUIRE LANE, SELAH, WA 98942
(850) 346-8052
Mailing address
90 MCGUIRE LANE, SELAH, WA 98942
(850) 346-8052
Taxonomy
Speciality
Code
Description
License number
State
171R00000X
Interpreter
Primary
—
—
Other
Enumeration date
10/07/2025
Last updated
10/24/2025
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