Individual
JESSIE SOSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LVN
Contact information
Practice address
1214 N VIRGINIA ST APT 6, EL PASO, TX 79902-4446
(915) 777-5901
Mailing address
444 EXECUTIVE CENTER BLVD STE 148, EL PASO, TX 79902-1096
(915) 213-1289
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
304347
TX
Other
Enumeration date
01/11/2021
Last updated
01/11/2021
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