Individual
ANAEL JAZMIN SOTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14059 CROWN CT, WOODBRIDGE, VA 22193-1458
(818) 345-2345
Mailing address
21600 OXNARD ST STE 1800, WOODLAND HILLS, CA 91367-7807
(818) 345-2345
(000) 000-0000
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
A61394744
VA
Other
Enumeration date
08/12/2020
Last updated
08/12/2020
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