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Contact Information

MAYRA A SOUZA
1153 COMO DR
MANTECA, CA95337-8432
 Phone: 209-629-9101
 Fax: 209-239-1410
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Attendant Care Provider

3747A0650X
 

Home Health

251E00000X A4[11] Home Health Agency
 

Homemaker

376J00000X
 

In Home Supportive Care

253Z00000X
Indicates primary specialty

NPI Profile & details for MAYRA A SOUZA · (Female)

NPI Number 1386402055
Status Active
Credentials
Entity Individual
Enumeration date 03/07/2024
Last updated 07/01/2025 - About 11 months ago
Sole proprietor 1 Yes
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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