Individual
ELISANGELA SOUZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2557 CHINO HILLS PKWY STE A, CHINO HILLS, CA 91709-5603
(909) 393-4334
Mailing address
9825 MAGNOLIA AVE # B175, RIVERSIDE, CA 92503-3562
(951) 870-7673
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95025443
CA
Other
Enumeration date
06/23/2023
Last updated
09/20/2023
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