Individual
OLIVIA SOUSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
53 CHURCH ST, KINGSTON, NH 03848-9997
(603) 642-3191
Mailing address
8A RICHARDSON DR, DERRY, NH 03038-4919
(781) 392-8007
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
CPHT-129121
NH
Other
Enumeration date
05/08/2023
Last updated
05/08/2023
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