Provider Demographics
NPI:1548466246
Name:SOITO, JANIE (PHN)
Entity type:Individual
Prefix:MS
First Name:JANIE
Middle Name:
Last Name:SOITO
Suffix:
Gender:F
Credentials:PHN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:726 9TH ST
Mailing Address - Street 2:
Mailing Address - City:TURLOCK
Mailing Address - State:CA
Mailing Address - Zip Code:95380-5919
Mailing Address - Country:US
Mailing Address - Phone:209-634-0728
Mailing Address - Fax:
Practice Address - Street 1:260 E 15TH ST
Practice Address - Street 2:
Practice Address - City:MERCED
Practice Address - State:CA
Practice Address - Zip Code:95340-6216
Practice Address - Country:US
Practice Address - Phone:209-381-1029
Practice Address - Fax:209-381-1034
Is Sole Proprietor?:No
Enumeration Date:2007-06-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA516111163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse