Individual
MR. DANIEL NYARIARO OTIENO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
13420 COMMONWEALTH DR, BURNSVILLE, MN 55337-8528
(612) 876-6714
Mailing address
13420 COMMONWEALTH DR, BURNSVILLE, MN 55337-8528
(612) 876-6714
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
MN
Other
Enumeration date
11/16/2010
Last updated
11/16/2010
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