Most Relevant Information
Provider Data
| NPI Number: | 1003477951 |
| Provider Name: | SOFIA ROSAS TOMAS |
| Entity Type: | Individual |
| Taxonomy Code: | 3747P1801X |
| Specialty: | Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 06/21/2019 |
| Last Updated: | 06/21/2019 |
Provider Practice Location
417 FOXVALE AVE
NORTH LAS VEGAS
NV
890326150
Practice Location Phone/Fax
| Phone: | 7026191859 |
| Fax: | 7024630104 |
Provider Mailing Location
417 FOXVALE AVE
NORTH LAS VEGAS
NV
890326150
Provider Mailing Phone/Fax
| Phone: | 7026191859 |
| Fax: | 7024630104 |