Timothy Desousa, CSFA
NPI #1518386945 in Ridgeland, South Carolina
Provider Information
- NPI Number
- 1518386945
- Entity Type
- Individual
- Name
- Timothy Desousa, CSFA
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Specialist/Technologist, Other - Surgical Assistant
- Credential
- CSFA
- Enumeration Date
- Apr 14, 2014
- Last Updated
- Jan 10, 2019
Practice Location
- Address
- 1316 HEARTHSTONE DR
- City
- Ridgeland
- State
- South Carolina
- ZIP Code
- 29936-7088
- Phone
- (352) 585-5581
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist, Other - Surgical Assistant — Surgical Assistant |
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