Individual
ANGELA SOTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1576 W BLUEWATER HWY, IONIA, MI 48846-8594
(800) 592-2974
Mailing address
1576 W BLUEWATER HWY, IONIA, MI 48846-8594
(800) 592-2974
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
AG04210066
MI
Other
Enumeration date
09/07/2021
Last updated
09/07/2021
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