Provider Demographics
NPI:1417688003
Name:SOSA, EVA TRINIDAD (CERTIFICATED)
Entity Type:Individual
Prefix:MISS
First Name:EVA
Middle Name:TRINIDAD
Last Name:SOSA
Suffix:
Gender:F
Credentials:CERTIFICATED
Other - Prefix:MISS
Other - First Name:EVA
Other - Middle Name:TRINIDAD
Other - Last Name:SOSA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MEDICAL INTERPRETER
Mailing Address - Street 1:806 S GARFIELD ST
Mailing Address - Street 2:
Mailing Address - City:KENNEWICK
Mailing Address - State:WA
Mailing Address - Zip Code:99336-5539
Mailing Address - Country:US
Mailing Address - Phone:425-219-1791
Mailing Address - Fax:
Practice Address - Street 1:806 S GARFIELD ST
Practice Address - Street 2:
Practice Address - City:KENNEWICK
Practice Address - State:WA
Practice Address - Zip Code:99336-5539
Practice Address - Country:US
Practice Address - Phone:425-219-1791
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-06-23
Last Update Date:2022-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMC15466171R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171R00000XOther Service ProvidersInterpreter