Individual
JESSICA SOTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
111 HOWARD AVE, CRANSTON, RI 02920-3001
(401) 606-1504
Mailing address
15 JOSLIN STREET, NORTH PROVIDENCE, RI 02911
(401) 606-1504
(401) 606-1486
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
63715
CT
2084P0800X
Psychiatry Physician
Primary
MD19094
RI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/21/2017
Last updated
05/30/2024
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