MIA KIMIKO DESOTO

FAIRFIELD, CA
NPI1528986940
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: CA  95038894)
Enumeration Date2026-07-06
Last Update Date2026-07-06
Business Address
MIA KIMIKO DESOTO
1860 PENNSYLVANIA AVE STE 230
FAIRFIELD, CA 94533-3550
Phone number: 707-646-4370
Mailing Address
MIA KIMIKO DESOTO
313 SHAKER DR
VACAVILLE, CA 95687-8022
Phone number: