Individual
ALEJANDRA SOTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
200 ELM ST N, ONAMIA, MN 56359-7901
(320) 532-3154
Mailing address
PO BOX A, ONAMIA, MN 56359-0807
(320) 532-3154
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
14707
MN
363A00000X
Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14707
LICENSE
MN
Enumeration date
09/07/2021
Last updated
11/08/2023
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