Individual
ZACHARY SOPKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, RN
Contact information
Practice address
3853 ROSECRANS ST, SAN DIEGO, CA 92110-3115
(619) 692-8232
Mailing address
3801 BASILONE ST UNIT 4, SAN DIEGO, CA 92110-5403
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
95162225
CA
Other
Enumeration date
04/15/2021
Last updated
04/15/2021
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