Individual
EDWIN FRUTIS SOTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
30 HUNTER LN, CAMP HILL, PA 17011-2499
(800) 748-3243
Mailing address
1200 RANCHERO WAY APT 36, SAN JOSE, CA 95117-3151
(408) 908-8010
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
RN95258458
CA
Other
Enumeration date
10/21/2021
Last updated
10/21/2021
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