Individual
GINA M SOTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
61 WHITCHER ST NE, MARIETTA, GA 30060-1176
(770) 422-2326
Mailing address
3315 HOLLIGLEN DR, MARIETTA, GA 30062-1141
(770) 378-3640
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
RN207881
GA
Other
Enumeration date
01/04/2018
Last updated
01/04/2018
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