TIMOTHY DESOUSA

RIDGELAND, SC
NPI1518386945
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy246ZC0007X Specialist/Technologist, Other, Surgical Assistant
Enumeration Date2014-04-14
Last Update Date2019-01-10
Business Address
TIMOTHY DESOUSA CSFA
1316 HEARTHSTONE DR
RIDGELAND, SC 29936-7088
Phone number: 352-585-5581
Mailing Address
TIMOTHY DESOUSA CSFA
PO BOX 1460
HARDEEVILLE, SC 29927-1460
Phone number: 352-585-5581
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