Individual
NICOLE ASHLEY SOUZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
24575 PATRICK BRUSH RUN RD, MARYSVILLE, OH 43040-7571
(925) 784-5182
Mailing address
24575 PATRICK BRUSH RUN RD, MARYSVILLE, OH 43040-7571
(925) 784-5182
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
10/17/2022
Last updated
10/17/2022
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