Individual
TARA P SOSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1201 S CLEARVIEW PKWY, JEFFERSON, LA 70121-1015
(504) 628-2565
Mailing address
1201 S CLEARVIEW PKWY, JEFFERSON, LA 70121-1015
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
ATH.J00327
LA
Other
Enumeration date
08/08/2019
Last updated
08/08/2019
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