Individual
MAYRA ALEJANDRA SOUZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1153 COMO DR, MANTECA, CA 95337-8432
(209) 629-9101
(209) 239-1410
Mailing address
1153 COMO DR, MANTECA, CA 95337-8432
(209) 239-1410
(209) 239-1410
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
3747A0650X
Attendant Care Provider
Primary
—
—
376J00000X
Homemaker
—
—
Other
Enumeration date
03/07/2024
Last updated
07/01/2025
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