Individual
SEAN SOUZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7111 GARDEN GROVE BLVD STE 100, GARDEN GROVE, CA 92841-4222
(562) 848-2273
Mailing address
7111 GARDEN GROVE BLVD STE 100, GARDEN GROVE, CA 92841-4222
(562) 848-2273
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
304700389
CA
Other
Enumeration date
08/12/2024
Last updated
08/12/2024
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