Individual
AMANDA RAQUEL SOTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
1373
PR
3336C0003X
Community/Retail Pharmacy
Primary
6977
PR
Other
Enumeration date
05/15/2007
Last updated
12/10/2021
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