Individual
KATELYNN SOTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
411 MERCEDES LN, LAFAYETTE, IN 47905-6641
(312) 866-2595
Mailing address
411 MERCEDES LN, LAFAYETTE, IN 47905-6641
(312) 866-2595
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
01/03/2025
Last updated
01/03/2025
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