# REBECCA S SOUZA

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1144277724
- **Gender:** F
- **Credential:** PA-C

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363A00000X | Physician Assistant | PA10004607 | WA | Yes |

## Other

- **Enumeration date:** 05/28/2006
- **Last updated:** 01/13/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0181108 | LABOR AND INDUSTRY | WA |
| 05 | — | 8394785 | — | WA |
| 01 | — | P00162972 | RAILROAD MEDICARE | WA |
| 01 | — | PA10004607 | STATE LICENSE NUMBER | WA |