Individual
RACHEL NICOLE SOUSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8432 MAGNOLIA AVE, RIVERSIDE, CA 92504-3206
(925) 368-8001
Mailing address
5059 QUAIL RUN RD APT 140, RIVERSIDE, CA 92507-6487
(925) 368-8001
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
10/14/2024
Last updated
10/14/2024
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