OTIS PERRY MAX INGERSOLL

ALBANY, CA
NPI1386838407
Professional NameOTIS PERRY MAX INGERSOLL
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: CA  14774)
Enumeration Date2007-08-31
Last Update Date2021-02-10
Business Address
OTIS PERRY MAX INGERSOLL FNP
500 SAN PABLO AVE
ALBANY, CA 94706-1103
Phone number: 510-204-8130
Mailing Address
OTIS PERRY MAX INGERSOLL FNP
500 SAN PABLO AVE
ALBANY, CA 94706-1103
Phone number: 510-204-8130
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