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Individual

YEZENIA SOTO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN-BC

Contact information

Practice address
4619 KANAWHA AVE SW, SOUTH CHARLESTON, WV 25309-1319
(304) 400-4545
Mailing address
206 HIGH ST, SAINT ALBANS, WV 25177-2423
(304) 541-7781

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
104046
WV
363LC0200X
Critical Care Medicine Nurse Practitioner
Primary
104046
WV
363LP2300X
Primary Care Nurse Practitioner
104046
WV

Other

Enumeration date
07/23/2019
Last updated
08/21/2019
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