Individual
MS. SOTA KEO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ANP-C
Contact information
Practice address
10147 GRAND AVE, SUN CITY, AZ 85351-3435
(602) 222-2631
(602) 222-2633
Mailing address
15147 W CORTEZ ST, SURPRISE, AZ 85379-5236
(623) 217-3318
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
AP1891
AZ
Other
Enumeration date
07/11/2006
Last updated
07/08/2007
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