Provider Demographics
NPI:1265853188
Name:SOTO, VICTORIA
Entity Type:Individual
Prefix:
First Name:VICTORIA
Middle Name:
Last Name:SOTO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2841 GREENSBURG RD
Mailing Address - Street 2:
Mailing Address - City:BUFFALO
Mailing Address - State:KY
Mailing Address - Zip Code:42716-8116
Mailing Address - Country:US
Mailing Address - Phone:270-325-3182
Mailing Address - Fax:
Practice Address - Street 1:2841 GREENSBURG RD
Practice Address - Street 2:
Practice Address - City:BUFFALO
Practice Address - State:KY
Practice Address - Zip Code:42716-8116
Practice Address - Country:US
Practice Address - Phone:270-325-3182
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-12-18
Last Update Date:2013-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide
No372600000XNursing Service Related ProvidersAdult Companion