Individual
FATIMA G URQUILLA SOTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN FNP-C
Contact information
Practice address
6601 RUGBY AVE STE 300, HUNTINGTON PARK, CA 90255-4046
(323) 582-1177
Mailing address
13934 FACADE AVE, PARAMOUNT, CA 90723-2107
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
95172261
CA
363L00000X
Nurse Practitioner
Primary
95025775
CA
Other
Enumeration date
06/01/2022
Last updated
09/06/2023
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