Individual
DEOMEL M SORIANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PMHNP-BC, RN, MSN
Contact information
Practice address
225 W MADISON AVE STE 2, EL CAJON, CA 92020-3454
(619) 334-7542
(619) 938-2568
Mailing address
225 W MADISON AVE STE 2, EL CAJON, CA 92020-3454
(619) 334-7542
(619) 938-2568
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
786457
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95006790
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1164641650
—
CA
Enumeration date
04/24/2007
Last updated
03/17/2018
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