Individual
NANCY GARCIA SOSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2464 FENTON PKWY APT 103, SAN DIEGO, CA 92108-6705
(619) 787-7465
Mailing address
9064 CAMINO LAGO VIS, SPRING VALLEY, CA 91977-6427
(619) 832-3431
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
D5818173
DRIVER LICENSE
CA
Enumeration date
03/11/2021
Last updated
03/11/2021
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