Individual
STEVEN SOUSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1209 BROADWAY, EUREKA, CA 95501-0129
(707) 442-2922
Mailing address
1209 BROADWAY, EUREKA, CA 95501-0129
(707) 442-2922
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
177414
CA
Other
Enumeration date
03/05/2019
Last updated
03/05/2019
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