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Individual
GRISELDA M. SORIANO
Active
Individual
GRISELDA M. SORIANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.-C.
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA16320
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1225252901
—
CA
05
—
1831365667
—
CA
01
—
PA16320
PA LIC
CA
01
—
ZZZ55168Y
BS/TRIWEST
CA
Enumeration date
04/12/2007
Last updated
07/21/2022
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