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Individual

RALUAN G. SOLTERO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
4510 EXECUTIVE DR, SUITE 105, SAN DIEGO, CA 92121-3021
(858) 457-8686
Mailing address
4510 EXECUTIVE DR, SUITE 105, SAN DIEGO, CA 92121-3021
(858) 457-8686

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
A54403
CA
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
A54403
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7611534
CA
Enumeration date
03/29/2007
Last updated
10/09/2017
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