Provider Demographics
NPI:1629877238
Name:JAMES, SONATA
Entity type:Individual
Prefix:
First Name:SONATA
Middle Name:
Last Name:JAMES
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 1:324 TROY ST
Mailing Address - Street 2:
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43611-3426
Mailing Address - Country:US
Mailing Address - Phone:419-280-4347
Mailing Address - Fax:
Practice Address - Street 1:324 TROY ST
Practice Address - Street 2:
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43611-3426
Practice Address - Country:US
Practice Address - Phone:419-280-4347
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-08
Last Update Date:2025-05-28
Deactivation Date:2025-05-02
Deactivation Code:
Reactivation Date:2025-05-27
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide