Individual
MRS. ELAINE SOUZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
2315 STOCKTON BLVD, SESP OP160, SACRAMENTO, CA 95817
(916) 734-7896
Mailing address
2315 STOCKTON BLVD, SESP OP160, SACRAMENTO, CA 95817
(916) 734-7896
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
916305
CA
Other
Enumeration date
12/08/2011
Last updated
12/08/2011
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