Individual
DANIELLE SHEA SOTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
117 W 400 S, SALT LAKE CITY, UT 84101-1916
(801) 428-4257
Mailing address
117 W 400 S, SALT LAKE CITY, UT 84101-1916
(801) 428-4257
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
13430184-1206
UT
Other
Enumeration date
07/31/2023
Last updated
10/22/2024
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