NPI 1164744231

Marina Marie Otter

Practitioner Chore Provider Coeur D Alene, ID

Practice location

Address: 2707 N Fruitland Ln APT C15, Coeur D Alene, ID 83815-9374
Phone: (208) 664-9407

Registered specialties (3)

Chore Provider Primary

Nursing Service Related Providers Taxonomy 372500000X

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Adult Companion

Nursing Service Related Providers Taxonomy 372600000X

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Homemaker

Nursing Service Related Providers Taxonomy 376J00000X

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Registry record

NPI: 1164744231
Entity type: Individual
Sex (as registered): Female
NPI issued: 17 Feb 2010
Record last updated: 17 Feb 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.