Individual
JONATHAN WAYNE SOSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LVN
Contact information
Practice address
1418 S GENESEE AVE, LOS ANGELES, CA 90019-3701
(310) 486-8277
Mailing address
1418 S GENESEE AVE, LOS ANGELES, CA 90019-3701
(310) 486-8277
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
CA
Other
Enumeration date
08/21/2023
Last updated
08/22/2023
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