Individual
MR. JUSTIN TROY SOUZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ARRT, CRT, R, CT
Contact information
Practice address
3350 LA JOLLA VILLAGE DR, SAN DIEGO, CA 92161-0002
(858) 552-8585
Mailing address
3350 LA JOLLA VILLAGE DR, SAN DIEGO, CA 92161-0002
(858) 552-8585
Taxonomy
Speciality
Code
Description
License number
State
2471M1202X
Magnetic Resonance Imaging Radiologic Technologist
Primary
RHF00070572
CA
Other
Enumeration date
07/03/2014
Last updated
07/03/2014
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