Individual
DAVID J DE SOUSA
Active
Individual
DAVID J DE SOUSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
4052
NH
225700000X
Massage Therapist
Primary
8782
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4052
LICENSED MASSAGE THERAPIST
NH
01
—
8782
LICENSED MASSAGE THERAPIST
LA
Enumeration date
05/22/2018
Last updated
05/22/2018
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