Individual
MR. ELVIS OLANDO SOTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
176 PRESIDENTIAL BLVD, OSWEGO, IL 60543-9816
(630) 935-0629
Mailing address
176 PRESIDENTIAL BLVD, OSWEGO, IL 60543-9816
(630) 935-0629
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
227000370
IL
Other
Enumeration date
09/16/2020
Last updated
09/16/2020
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