LUKAS WYATT OTTESON

GILROY, CA
NPI1699428995
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Additional Taxonomies101YM0800X Counselor, Mental Health
Enumeration Date2022-01-27
Last Update Date2022-01-27
Business Address
LUKAS WYATT OTTESON
9015 MURRAY AVE STE 100
GILROY, CA 95020-3675
Phone number: 408-842-7138
Mailing Address
LUKAS WYATT OTTESON
7136 EAGLE RIDGE DR
GILROY, CA 95020-3046
Phone number: 760-759-3865
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