Individual
EMILY DE SOUZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
91 NORTHWEST DR, PLAINVILLE, CT 06062-1534
(888) 793-3500
Mailing address
100 TRUMBULL ST, APARTMENT 801, HARTFORD, CT 06103-2412
(860) 550-5966
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
09/17/2008
Last updated
09/17/2008
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