Individual
KRYSTAL LEE SOUZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
31A WORKSHOP RD, SOUTH YARMOUTH, MA 02664-1210
(508) 398-5155
(508) 398-3478
Mailing address
31A WORKSHOP RD, SOUTH YARMOUTH, MA 02664-1210
(508) 398-5155
(508) 398-3478
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
RN261257
MA
Other
Enumeration date
05/05/2021
Last updated
05/05/2021
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