Individual
MR. ALLEN THOMAS SOTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
465 W PUTNAM AVE, PORTERVILLE, CA 93257-3320
(559) 784-1110
Mailing address
PO BOX 3834, VISALIA, CA 93278-3834
(562) 810-5457
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA19893
CA
Other
Enumeration date
08/04/2008
Last updated
02/12/2009
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