Individual
MARISELA SOSA FIGUEROA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2808 OLIVE VIEW RD, ALPINE, CA 91901-2287
(619) 318-7621
Mailing address
3082 CLAY AVE, SAN DIEGO, CA 92113-1411
(619) 832-3431
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Y4785750
IDENTIFICATION CARD
CA
Enumeration date
07/21/2021
Last updated
07/21/2021
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