Individual
COLETTE AGNES PERPETUAL DSOUZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1703 W BETHANY HOME RD STE C3, PHOENIX, AZ 85015-7066
(602) 944-2444
Mailing address
12400 N TATUM BLVD UNIT 5089, PHOENIX, AZ 85032-0046
(714) 732-7890
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT-002904
AZ
Other
Enumeration date
08/15/2025
Last updated
08/15/2025
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