Provider Demographics
NPI:1891498002
Name:SOSA, VERONICA DARLENE
Entity Type:Individual
Prefix:
First Name:VERONICA
Middle Name:DARLENE
Last Name:SOSA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7405 AMESTOY RD
Mailing Address - Street 2:
Mailing Address - City:OAK HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:92344-9246
Mailing Address - Country:US
Mailing Address - Phone:760-461-0393
Mailing Address - Fax:
Practice Address - Street 1:7405 AMESTOY RD
Practice Address - Street 2:
Practice Address - City:OAK HILLS
Practice Address - State:CA
Practice Address - Zip Code:92344-9246
Practice Address - Country:US
Practice Address - Phone:760-461-0393
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-03-24
Last Update Date:2023-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program