Individual
CEOL MIGUEL SOTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
95 BERKELEY ST STE 600, BOSTON, MA 02116-6264
(617) 350-6900
Mailing address
60 CRISPUS ATTUCKS PL, ROXBURY, MA 02119-1909
(857) 277-9589
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
07/19/2012
Last updated
07/19/2012
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