Individual
CORAYMA SOTELO LUCAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
18 TECHNOLOGY DR STE 206, IRVINE, CA 92618-2314
(949) 540-9992
Mailing address
18 TECHNOLOGY DR STE 206, IRVINE, CA 92618-2314
(949) 540-9992
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1043758519
ORGANIZATION NPI
CA
Enumeration date
12/18/2019
Last updated
12/18/2019
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