Organization
SOTO EXECUTIVE ENTERPRISE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RAFAEL SOTO III (PRESIDENT & CEO)
(571) 288-3440
Entity
Organization
Contact information
Practice address
5227 SPRING BRANCH BLVD, MONTCLAIR, VA 22025-3048
(571) 288-3440
Mailing address
5227 SPRING BRANCH BLVD, MONTCLAIR, VA 22025-3048
(571) 288-3440
Taxonomy
Speciality
Code
Description
License number
State
2084F0202X
Forensic Psychiatry Physician
Primary
—
—
Other
Enumeration date
01/05/2021
Last updated
01/05/2021
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