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NPI Code Detail

MEDICARE: CYNTHIA MARIE SOTO L. AC, EAMP

MEDICARE:   CYNTHIA MARIE SOTO  L. AC, EAMP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1171100000XAcupuncturistAC60227110WA

General Provider Information

NPI Number : 1083965644
Entity Type Code : Individual
Provider Name (Legal Business Name) : CYNTHIA MARIE SOTO L. AC, EAMP
Provider Business Mailing Address
First Line : 3418 NE 65TH ST
Second Line : #206
City : SEATTLE
State : WA
Zip : 98115-7350
Country : US
Telephone Number : 206-407-8002
Fax Number :
Provider Business Practice Location Address
First Line : 3418 NE 65TH ST
Second Line : #206
City : SEATTLE
State : WA
Zip : 98115-7350
Country : US
Telephone Number : 206-407-8002
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/24/2012
Last Update Date : 09/24/2012

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Directions to “ CYNTHIA MARIE SOTO L. AC, EAMP” Practice Location

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