Individual
MR. JUAN PABLO BOTELLO
Active
Individual
MR. JUAN PABLO BOTELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSN RN CDES
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
756855
CA
163WD0400X
Diabetes Educator Registered Nurse
Primary
22200760
CA
Other
Enumeration date
02/08/2022
Last updated
02/08/2022
Update your record
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