Individual
ELISHEVA SYVIA SOTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
151 N 3RD AVE STE 400, POCATELLO, ID 83201-6331
(208) 840-1992
Mailing address
151 N 3RD AVE STE 400, POCATELLO, ID 83201-6331
(208) 840-1992
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
09/10/2021
Last updated
09/10/2021
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