Individual
PATRICK DESOUZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
660 S EUCLID AVE, SAINT LOUIS, MO 63110-1010
(978) 618-7985
Mailing address
5154 WATERMAN BLVD, SAINT LOUIS, MO 63108-1104
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/05/2024
Last updated
06/05/2024
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