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Individual

ILEANEXCIS SANTINI-SOTO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
29516 KOHOUTEK WAY, UNION CITY, CA 94587-1221
(510) 441-8240
Mailing address
2707 BREEZY LAKE LN UNIT 105, LAND O LAKES, FL 34638-3796
(787) 430-6788

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
20804
FL
235Z00000X
Speech-Language Pathologist
Primary
28834
CA

Other

Enumeration date
09/17/2019
Last updated
08/04/2024
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