Provider Demographics
NPI:1407030844
Name:SOKOTOWSKI, ROBERTA M
Entity Type:Individual
Prefix:
First Name:ROBERTA
Middle Name:M
Last Name:SOKOTOWSKI
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 1:150 CAYUGA ST
Mailing Address - Street 2:SUITE 11
Mailing Address - City:SALINAS
Mailing Address - State:CA
Mailing Address - Zip Code:93901-2684
Mailing Address - Country:US
Mailing Address - Phone:831-784-5999
Mailing Address - Fax:
Practice Address - Street 1:150 CAYUGA ST
Practice Address - Street 2:SUITE 11
Practice Address - City:SALINAS
Practice Address - State:CA
Practice Address - Zip Code:93901-2684
Practice Address - Country:US
Practice Address - Phone:831-784-5999
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-12-20
Last Update Date:2007-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator