Individual
MR. WILFREDO SOSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
HSCS
Contact information
Practice address
COMDT CG-1122, U. S. COAST GUARD, 2100 2ND ST SW, SUITE 5314, WASHINGTON, DC 20953
(510) 637-1245
Mailing address
162 SAN JOSE DR, NOVATO, CA 94949-6506
(415) 382-6085
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
01/23/2007
Last updated
07/08/2007
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