Individual
LACI MICHELLE SOTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
538 RAMSEY DR, STONEWALL, LA 71078-9652
(318) 272-4161
Mailing address
538 RAMSEY DR, STONEWALL, LA 71078-9652
(318) 272-4161
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN134998
LA
Other
Enumeration date
07/29/2019
Last updated
07/29/2019
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