Individual
AARON O QUINONES SOSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LVN
Contact information
Practice address
2225 CHALLENGER WAY, SANTA ROSA, CA 95407-5441
(707) 576-8181
Mailing address
PO BOX 1621, SANTA ROSA, CA 95402-1621
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
690992
CA
Other
Enumeration date
05/17/2017
Last updated
05/17/2017
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