Individual
MR. EMMANUEL P DSOUZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CNP
Contact information
Practice address
300 FOREST AVE, DAYTON, OH 45405-4500
(937) 535-5060
Mailing address
1515 S BREIEL BLVD, MIDDLETOWN, OH 45044-6701
(513) 420-8195
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN.314957
OH
363LF0000X
Family Nurse Practitioner
Primary
17016- NP
OH
Other
Enumeration date
03/02/2011
Last updated
08/18/2021
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