Individual
JUAN SOTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AAC, CPC
Contact information
Practice address
506 W FRANKLIN ST, SHELTON, WA 98584-3517
(360) 427-5232
(360) 427-5006
Mailing address
PO BOX 59, CHEHALIS, WA 98532-0059
(360) 740-4380
(360) 740-1877
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
CG61438156
WA
Other
Enumeration date
05/04/2023
Last updated
05/05/2023
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