Individual
ELAINE C SOTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
950 15TH ST, AUGUSTA, GA 30901-2608
(706) 733-0188
Mailing address
4711 MILL POND CT, GROVETOWN, GA 30813-5332
(706) 399-4092
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
163WM0705X
Medical-Surgical Registered Nurse
Primary
237243
GA
Other
Enumeration date
01/29/2020
Last updated
10/22/2022
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