Individual
VERONICA SOTELO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DS
Contact information
Practice address
1717 CONDOR DR, MIDDLETON, ID 83644-4602
(208) 914-0871
Mailing address
1717 CONDOR DR, MIDDLETON, ID 83644-4602
(208) 599-0104
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
05/10/2021
Last updated
05/10/2021
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