Individual
MARIAM Y OTERO NAZARIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5019 NW 34TH TER, GAINESVILLE, FL 32605-1011
(787) 948-0697
Mailing address
5019 NW 34TH TER, GAINESVILLE, FL 32605-1011
(787) 948-0697
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
9420711
FL
Other
Enumeration date
03/25/2024
Last updated
03/25/2024
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