Individual
ASHA ANITA D'SOUZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
506 GAIL POND DR, LAWRENCEVILLE, GA 30045-8717
(719) 821-4686
Mailing address
506 GAIL POND DR, LAWRENCEVILLE, GA 30045-8717
(719) 821-4686
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
RN281677
GA
Other
Enumeration date
11/13/2025
Last updated
11/13/2025
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