Individual
MISS SANDRA LEE OTTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
9500 EUCLID AVE, J4-134, CLEVELAND, OH 44195-0001
(216) 444-2200
(216) 445-3117
Mailing address
9500 EUCLID AVE, J4-134, CLEVELAND, OH 44195-0001
(216) 444-2200
(216) 445-3117
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
COA.12283-NP
OH
Other
Enumeration date
04/07/2011
Last updated
04/07/2011
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