# DR. JERSLIN DE SOUSA

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

## Provider details

- **NPI number:** 1376053082
- **Gender:** F
- **Credential:** DC

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | X012739-1 | NY | Yes |
| 111NI0013X | Independent Medical Examiner Chiropractor | X0121739-1 | NY | — |

## Other

- **Enumeration date:** 10/08/2017
- **Last updated:** 05/30/2019