Individual
MS. TANJA MARIE DSOUZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
47915 OASIS ST, INDIO, CA 92201-6950
(760) 863-8638
Mailing address
29740 SANTA ROSA ST, CATHEDRAL CITY, CA 92234-4959
(760) 641-3854
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
761331
CA
Other
Enumeration date
03/31/2022
Last updated
03/31/2022
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