Individual
ANDREA D'SOUZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
490 S MAIN ST, FORT BRAGG, CA 95437-4806
(707) 964-1848
Mailing address
80 BELFORD DR, DALY CITY, CA 94015-3407
(415) 699-9456
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH89214
CA
Other
Enumeration date
10/14/2024
Last updated
10/14/2024
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