ANTONINO FLORA SOSA

SAN RAFAEL, CA
NPI1619448404
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence:   AT9635)
Enumeration Date2018-12-06
Last Update Date2018-12-06
Business Address
ANTONINO FLORA SOSA
380 CHANNING WAY APT 170
SAN RAFAEL, CA 94903-2625
Phone number: 707-315-2149
Mailing Address
ANTONINO FLORA SOSA
380 CHANNING WAY APT 170
SAN RAFAEL, CA 94903-2625
Phone number: 707-315-2149