Individual
DOROTHY KEMUMA OTIENO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1435 PUEBLO CT, CLAREMONT, CA 91711-2731
(612) 707-5543
Mailing address
1435 PUEBLO CT, CLAREMONT, CA 91711-2731
(612) 707-5543
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
95388156
CA
Other
Enumeration date
10/10/2024
Last updated
10/10/2024
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