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Individual
THERESA ANN SOTO
Active
Individual
THERESA ANN SOTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
801061
TX
367500000X
Certified Registered Nurse Anesthetist
Primary
AP120565
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
308983500
—
FL
01
—
G4512
BCBS
FL
01
—
P00712337
RAILROAD MEDICARE
—
Enumeration date
02/19/2008
Last updated
10/30/2020
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