Individual
DINA PAULETTE SOTOLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
2428 N GRANDVIEW BLVD STE 102, WAUKESHA, WI 53188-6906
(262) 875-5070
(866) 384-9486
Mailing address
126 ERIN RD, OCONOMOWOC, WI 53066-8802
(708) 846-5994
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209.041387
IL
Other
Enumeration date
06/28/2016
Last updated
08/12/2019
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