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Billy Otieno

NPI 1437991700 · on the registry since 2024

Practice

Address
2235 Montego Dr
Cordova, TN 38016
Phone
(901) 238-5792
Organisation at this address
Imb Transport Llc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
172A00000X
172A00000X
Licence states on file
TN
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2024-06-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Tennessee