Individual
MRS. CHRISTINE SOUSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.N.P.
Contact information
Practice address
1285 S STATE ST, HEMET, CA 92543-7976
(951) 765-1777
Mailing address
27699 JEFFERSON AVE, SUITE 300, TEMECULA, CA 92590-2661
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
21700
CA
Other
Enumeration date
09/10/2012
Last updated
09/10/2012
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