Most Relevant Information
Provider Data
| NPI Number: | 1003469768 |
| Provider Name: | VANESSA OTERO |
| Entity Type: | Individual |
| Taxonomy Code: | 3747P1801X |
| Specialty: | Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 07/22/2019 |
| Last Updated: | 07/22/2019 |
Provider Practice Location
2820 W CHARLESTON BLVD # B-21
LAS VEGAS
NV
891021942
Practice Location Phone/Fax
| Phone: | 7024136011 |
| Fax: | 7029888780 |
Provider Mailing Location
2820 W CHARLESTON BLVD # B-21
LAS VEGAS
NV
891021942
Provider Mailing Phone/Fax
| Phone: | 7024136011 |
| Fax: | 7029888780 |