Individual
MR. JOSE JESUS SOSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
11500 GORDON RD, FREDERICKSBURG, VA 22407-1728
(540) 840-4048
(540) 548-0246
Mailing address
11500 GORDON RD, FREDERICKSBURG, VA 22407-1728
(540) 840-4048
(540) 548-0246
Taxonomy
Speciality
Code
Description
License number
State
171WH0202X
Home Modifications Contractor
Primary
205765292
VA
Other
Enumeration date
07/17/2010
Last updated
07/17/2010
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