Individual
MR. NICHOLAS JOSEPH SOUZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
VAMC 830 CHALKSTONE AVE., PROVIDENCE, RI 02908-4799
(401) 273-7100
(401) 525-2594
Mailing address
13 GROVE AVE, JOHNSTON, RI 02919-2053
(401) 233-8210
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN07573
RI
Other
Enumeration date
07/19/2006
Last updated
07/08/2007
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