Provider Demographics
NPI:1700900826
Name:GO-SOCO, LOUDYFEL JUNE ALDAY
Entity Type:Individual
Prefix:
First Name:LOUDYFEL JUNE
Middle Name:ALDAY
Last Name:GO-SOCO
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 1:3300 S STONEBRIDGE DR
Mailing Address - Street 2:
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75070-5921
Mailing Address - Country:US
Mailing Address - Phone:972-704-1054
Mailing Address - Fax:
Practice Address - Street 1:3300 S STONEBRIDGE DR
Practice Address - Street 2:
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75070-5921
Practice Address - Country:US
Practice Address - Phone:972-704-1054
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-16
Last Update Date:2023-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY028623171W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor