EDMOND L OTIS

MORENO VALLEY, CA
NPI1619681251
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy106H00000X Marriage & Family Therapist
(Licence: CA  31194)
Enumeration Date2023-01-09
Last Update Date2023-01-09
Business Address
EDMOND L OTIS
26449 BODEGA CT
MORENO VALLEY, CA 92555-2461
Phone number: 760-612-7029
Mailing Address
EDMOND L OTIS
1242 UNIVERSITY AVE STE 6-570
RIVERSIDE, CA 92507-8810
Phone number: 760-612-7029