Individual
MRS. SANDRA L SOUZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BC-HIS,ACA
Contact information
Practice address
3830 BROAD ST, SUITE 5, SAN LUIS OBISPO, CA 93401-7187
(805) 547-9500
(805) 547-9502
Mailing address
PO BOX 13759, SAN LUIS OBISPO, CA 93406-3759
(805) 547-9500
(805) 547-9502
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
HA3908
CA
Other
Enumeration date
05/08/2007
Last updated
01/15/2009
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