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Individual

MR. JAIME SOTO JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1904 RICHLAND AVE, CERES, CA 95307-4562
(209) 341-1824
Mailing address
1904 RICHLAND AVE, CERES, CA 95307-4562
(209) 422-9836

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
172V00000X
Community Health Worker
Primary
175T00000X
Peer Specialist
MPSS-KRGEQH
CA
372600000X
Adult Companion

Other

Enumeration date
11/13/2018
Last updated
03/25/2026
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