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OTHOLINO REMEDIOS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1200 AVENUE G, SUITE # 101,, MARRERO, LA 70072-3765
(504) 347-0202
(504) 341-6475
Mailing address
1111 MEDICAL CENTER BLVD, SUITE N-502, MARRERO, LA 70072-3151
(504) 347-0202
(504) 341-6475

Taxonomy

Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
5066R
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1957798
LA
Enumeration date
10/26/2006
Last updated
02/16/2012
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