Individual
JESSICA YVONNE SOTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
16750 W 159TH ST, LOCKPORT, IL 60441-7968
(815) 834-1351
Mailing address
16750 W 159TH ST, LOCKPORT, IL 60441-7968
(815) 834-1351
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051298782
IL
Other
Enumeration date
08/14/2015
Last updated
08/14/2015
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