Individual
JEANNETTE SOTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2080 S. E STREET, SAN BERNARDINO, CA 92408
(909) 433-9300
(909) 433-9308
Mailing address
4907 ROUNDUP RD, NORCO, CA 92860-2434
(909) 433-9300
(909) 433-9308
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
35231
CA
Other
Enumeration date
02/15/2007
Last updated
10/18/2013
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