Individual
JOSE NILDO DE SOUSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1001 BRIDGEWAY STE A1, #178, SAUSALITO, CA 94965-2182
(415) 858-3833
Mailing address
1001 BRIDGEWAY STE A1, SAUSALITO, CA 94965-2182
(415) 858-3833
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
Primary
E175514
CA
Other
Enumeration date
09/02/2022
Last updated
09/02/2022
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