Most Relevant Information
Provider Data
| NPI Number: | 1003500430 |
| Provider Name: | DIDO G KOTILE |
| Entity Type: | Individual |
| Taxonomy Code: | 376G00000X |
| Specialty: | Nursing Home Administrator |
| License Number: |
Most Important Dates
| Enumeration Date: | 06/07/2023 |
| Last Updated: | 06/07/2023 |
Provider Practice Location
3226 HAMLET DR
WOODBURY
MN
551252709
Practice Location Phone/Fax
| Phone: | 6512333857 |
| Fax: |
Provider Mailing Location
3226 HAMLET DR
WOODBURY
MN
551252709
Provider Mailing Phone/Fax
| Phone: | 6512333857 |
| Fax: |