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Individual

MYRIAM SOTO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
CARR 417 KM 2.0, BO MALPASO, AGUADA, PR 00602
(787) 598-7745
Mailing address
PO BOX 1608, AGUADA, PR 00602

Taxonomy

Speciality
Code
Description
License number
State
103TF0000X
Family Psychologist
Primary
4585

Other

Enumeration date
01/04/2017
Last updated
01/04/2017
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