Dacosta, Sonnie M

Dacosta, Sonnie M is an individual health care provider with primary practice located at 2343 Archwood Ln Suite 141, Simi Valley CA 93063-6142. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as her primary health care specialty. Dacosta, Sonnie M can be contacted via phone (805) 795-3260.

Contact Information

Primary practice address
2343 Archwood Ln Suite 141 Simi Valley CA 93063-6142
Phone: (805) 795-3260
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X California

Profile Details

NPI number 1922377787
LBN Legal business name Dacosta, Sonnie M
Credentials Athletic Trainer, Certified (ATC)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 23rd, 2011
Last updated Dec 23rd, 2011 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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