Provider Demographics
NPI:1801489489
Name:SOZA, KARINA
Entity type:Individual
Prefix:MRS
First Name:KARINA
Middle Name:
Last Name:SOZA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7A ALLARD CT
Mailing Address - Street 2:
Mailing Address - City:HUDSON
Mailing Address - State:NH
Mailing Address - Zip Code:03051-6904
Mailing Address - Country:US
Mailing Address - Phone:774-381-4253
Mailing Address - Fax:
Practice Address - Street 1:188 CENTRAL ST STE 3
Practice Address - Street 2:
Practice Address - City:HUDSON
Practice Address - State:NH
Practice Address - Zip Code:03051-4499
Practice Address - Country:US
Practice Address - Phone:774-381-4253
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-02-15
Last Update Date:2021-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH04462374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide