MS. Diana L Otwell, LMP

NPI #1992007108 in Federal Way, Washington

Provider Information

NPI Number: 1992007108
Entity Type: Individual
Name: MS. Diana L Otwell, LMP
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Credential: LMP
Enumeration Date: Nov 19, 2010
Last Updated: Nov 19, 2010

Practice Location

Address: 33650 6TH AVE S
City: Federal Way
State: Washington
ZIP Code: 98003-6754
Phone: (209) 740-6827

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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