Individual
MRS. JENNIFER A SOTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
400 S 6TH ST, WATERTOWN, WI 53094-4636
(920) 262-1697
Mailing address
400 S 6TH ST, WATERTOWN, WI 53094-4636
(920) 262-1697
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
—
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38257700
—
WI
Enumeration date
02/04/2008
Last updated
02/04/2008
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