Individual
GEORGIA RUBIANE MEIRA DO ROSARIO DE SOUZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5501 OLD YORK RD, PHILADELPHIA, PA 19141-3018
(484) 622-7145
Mailing address
5501 OLD YORK RD, PHILADELPHIA, PA 19141-3018
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
MT235217
—
Other
Enumeration date
07/30/2025
Last updated
07/30/2025
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