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Individual

MS. DAYRA SOTO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
AGNP

Contact information

Practice address
20 PROSPECT AVE, SUITE 516, HACKENSACK, NJ 07601
(201) 488-8989
(551) 996-5765
Mailing address
20 PROSPECT AVE, SUITE 516, HACKENSACK, NJ 07601-1997
(201) 488-8989
(551) 996-5765

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
26NJ00711700
NJ
363LG0600X
Gerontology Nurse Practitioner
26NJ00711700
NJ

Other

Enumeration date
02/27/2017
Last updated
03/07/2017
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