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Krystille Souza

NPI 1912786823 · on the registry since 2023

Practice

Address
24953 Paseo De Valencia
Build B Suite 1b
Laguana Hills, CA 92653
Phone
(949) 540-0170
Fax
(949) 540-0173

Registry record

Primary taxonomy
101YA0400X
101YA0400X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2023-09-28

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California