Shawn Donnika Sotofalcon

NPI #1992269104 in Florissant, Missouri

Provider Information

NPI Number: 1992269104
Entity Type: Individual
Name: Shawn Donnika Sotofalcon
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Technician/Technologist
Enumeration Date: Jan 22, 2019
Last Updated: Jan 22, 2019

Practice Location

Address: 11921 CATO DR
City: Florissant
State: Missouri
ZIP Code: 63033-6903
Phone: (314) 346-8520

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician/Technologist	156F00000X	Primary

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