Individual
NICHOLAS KARLUS DSOUZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT, NMT
Contact information
Practice address
2342 COLONY CROSSING PL, MIDLOTHIAN, VA 23112-4280
(804) 744-4317
Mailing address
2342 COLONY CROSSING PL # 3, MIDLOTHIAN, VA 23112-4280
(804) 744-4317
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT.0025419
CO
Other
Enumeration date
03/15/2023
Last updated
03/15/2023
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