Individual
JESICA SOTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LND, RD
Contact information
Practice address
1201 NW 16TH ST, MIAMI, FL 33125-1624
(305) 575-3425
(305) 575-3413
Mailing address
12351 SW 11TH ST, PEMBROKE PINES, FL 33025-5769
(305) 575-3425
(305) 575-3413
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1224
PR
Other
Enumeration date
07/21/2006
Last updated
07/08/2007
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