Most Relevant Information
Provider Data
| NPI Number: | 1003043258 |
| Provider Name: | ELLEN SOUSA RD |
| Entity Type: | Individual |
| Taxonomy Code: | 133V00000X |
| Specialty: | Dietitian, Registered |
| License Number: |
Most Important Dates
| Enumeration Date: | 06/15/2009 |
| Last Updated: | 06/15/2009 |
Provider Practice Location
363 HIGHLAND AVE
FALL RIVER
MA
027203703
Practice Location Phone/Fax
| Phone: | 5086793131 |
| Fax: |
Provider Mailing Location
363 HIGHLAND AVE
FALL RIVER
MA
027203703
Provider Mailing Phone/Fax
| Phone: | 5086793131 |
| Fax: |