Individual
COELITHIA NICOLE SOSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
4200 DOUGLAS BLVD, GRANITE BAY, CA 95746-5902
(916) 938-2912
(916) 771-6338
Mailing address
9200 FARMSTEAD CIR, ROSEVILLE, CA 95747-4415
(954) 625-5761
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
65013
CA
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
02/14/2024
Last updated
01/20/2026
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