Maximiliano Hernandez Soto
Community Health Worker in Salt Lake City, UT. Individual provider (NPI-1).
NPI number1891492013
StatusActive
Last updated in NPPESFeb 8, 2023
Details
- NPI
- 1891492013
- Entity type
- Individual (NPI-1)
- Name
- Maximiliano Hernandez Soto
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Feb 8, 2023
- Certification date
- Feb 8, 2023
- Last updated
- Feb 8, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 172V00000X | Community Health Worker | – | – | Yes |
Practice location
443 S 600 ESalt Lake City, UT 84102-2708
Phone 888-949-4864
Mailing address
4460 S Highland Dr Ste 120Salt Lake City, UT 84124-3550
Phone 888-949-4864
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All 1,624 Community Health Worker providers in Salt Lake City · All 24,510 providers in Salt Lake City
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