Individual
DERICK SOSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
315 MARTIN LUTHER KING JR WAY, TACOMA, WA 98405-4234
(253) 403-1000
Mailing address
PO BOX 5215, TACOMA, WA 98415-0215
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP70025772
WA
Other
Enumeration date
04/04/2025
Last updated
08/07/2025
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