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Individual

MADISON ELIZABETH SOUZA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
470 CHADBOURNE RD STE A, FAIRFIELD, CA 94534-9620
(707) 419-8989
Mailing address
450 CLIPPER HILL RD, DANVILLE, CA 94526-2308
(925) 948-5510

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
95032370
CA

Other

Enumeration date
03/19/2025
Last updated
03/19/2025
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