JACQUELINE OTAKE

ALBUQUERQUE, NM
NPI1720769763
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: NM  80042)
Enumeration Date2023-07-31
Last Update Date2024-08-30
Business Address
JACQUELINE OTAKE
1100 CENTRAL AVE SE
ALBUQUERQUE, NM 87106-4930
Phone number: 505-841-1234
Mailing Address
JACQUELINE OTAKE
8770 WASHINGTON BLVD APT 420
CULVER CITY, CA 90232-2482
Phone number: 860-519-6073
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