Individual
SHAWN DONNIKA SOTOFALCON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11921 CATO DR, FLORISSANT, MO 63033-6903
(314) 346-8520
Mailing address
11921 CATO DR, FLORISSANT, MO 63033-6903
(314) 346-8520
Taxonomy
Speciality
Code
Description
License number
State
156F00000X
Technician/Technologist
Primary
0000000
MO
Other
Enumeration date
01/22/2019
Last updated
01/22/2019
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