Individual
GLADYS ODILL SOTO-LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MCR, DCFC
Contact information
Practice address
1735 URB PURPLE TREE, SAN JUAN, PR 00926
(787) 940-3807
Mailing address
P.O. BOX 6017 PMB 395, CAROLINA, PR 00984-6017
(787) 940-3807
Taxonomy
Speciality
Code
Description
License number
State
225C00000X
Rehabilitation Counselor
Primary
785
PR
Other
Enumeration date
06/14/2017
Last updated
06/14/2017
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