Marina Marie Otter

NPI #1164744231 in Coeur D Alene, Idaho

Provider Information

NPI Number: 1164744231
Entity Type: Individual
Name: Marina Marie Otter
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Chore Provider
Enumeration Date: Feb 17, 2010
Last Updated: Feb 17, 2010

Practice Location

Address: 2707 N FRUITLAND LN APT C15
City: Coeur D Alene
State: Idaho
ZIP Code: 83815-9374
Phone: (208) 664-9407

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chore Provider	372500000X	Primary
Adult Companion	372600000X
Homemaker	376J00000X

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