Individual provider · Type 1 NPI

Diedre Desouza

Student in an Organized Health Care Education/Training Program · Farmington, CT

NPI number 1588412084 Active

Practice location

263 Farmington Avenue
Farmington, CT 06030-1127

Call (860) 679-3600 Map

Fax (860) 679-1275

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1588412084

Diedre Desouza's National Provider Identifier is 1588412084, issued on May 9, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Farmington, CT. The record was last updated on Nov 27, 2024.