| Mario De Souza, | |
|
6584 Isolated Ave, Las Vegas, NV 89110-5157 | |
| (702) 332-3581 | |
| Not Available |
| Full Name | Mario De Souza |
|---|---|
| Gender | Male |
| Speciality | Counselor |
| Location | 6584 Isolated Ave, Las Vegas, Nevada |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821456039 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mario De Souza, 6584 Isolated Ave, Las Vegas, NV 89110-5157 Ph: (702) 332-3581 | Mario De Souza, 6584 Isolated Ave, Las Vegas, NV 89110-5157 Ph: (702) 332-3581 |
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