Individual
JISELA LORENA SOSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8801 EMERSON PL, EVERETT, WA 98208-1947
(425) 508-6363
Mailing address
8801 EMERSON PL, EVERETT, WA 98208-1947
(425) 508-6363
Taxonomy
Speciality
Code
Description
License number
State
171R00000X
Interpreter
Primary
MC6116
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
604-356-036
—
WA
Enumeration date
11/11/2021
Last updated
11/11/2021
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