Individual
MONICA KATHARINE SOUZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
593 EDDY STREET, APC 6, PROVIDENCE, RI 02903
(401) 793-9166
(401) 444-2788
Mailing address
117 ELLENFIELD ST STE 101, PROVIDENCE, RI 02905-4513
(401) 444-6779
(401) 444-6912
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA00949
RI
363AM0700X
Medical Physician Assistant
PA5845
MA
Other
Enumeration date
10/11/2016
Last updated
07/25/2018
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