Individual
RYAN SOTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
4040 OBSIDIAN RD, SAN BERNARDINO, CA 92407-0465
(909) 327-8388
Mailing address
4040 OBSIDIAN RD, SAN BERNARDINO, CA 92407-0465
(909) 327-8388
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
803722
CA
367500000X
Certified Registered Nurse Anesthetist
Primary
95001507
CA
Other
Enumeration date
11/18/2020
Last updated
02/24/2021
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