Individual
MARIA ISABEL SOTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2291 W MARCH LN STE C101, STOCKTON, CA 95207-6669
(916) 745-8211
Mailing address
3208 TRUDI WAY, MODESTO, CA 95354-3399
(209) 486-3654
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
Y6857653
CA
Other
Enumeration date
06/22/2020
Last updated
06/22/2020
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