Individual
RENEE KATHLEEN OTTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
7121 E MADERO AVE, MESA, AZ 85209-4840
(480) 854-0199
(480) 854-0199
Mailing address
7121 E MADERO AVE, MESA, AZ 85209-4840
(480) 854-0199
(480) 854-0199
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN158466
AZ
Other
Enumeration date
08/21/2019
Last updated
08/21/2019
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