Individual
ANN P. SOUSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
15 CHESTNUT ST, 2ND. FLOOR, PEABODY, MA 01960-5429
(978) 210-7777
Mailing address
15 CHESTNUT ST, 2ND. FLOOR, PEABODY, MA 01960-5429
(978) 210-7777
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MT-6597
MA
Other
Enumeration date
10/22/2012
Last updated
10/22/2012
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