Individual
MISS ELISA SOTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1805 W HEAVENLY CT, FLAGSTAFF, AZ 86001-2836
(928) 226-1563
Mailing address
5740 N VIA UMBROSA, TUCSON, AZ 85750-1382
(520) 591-5171
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
TSLP7671
AZ
Other
Enumeration date
03/16/2012
Last updated
03/16/2012
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