NPI 1760290597

Ari Benjamin de Souza

Practitioner Meals Provider Duluth, GA

Practice location

Address: 1770 Peachtree Industrial Blvd Unit 1112, Duluth, GA 30097-8257
Phone: (954) 552-8183

Registered specialties (4)

Meals Provider Primary

Other Service Providers Taxonomy 174200000X

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Home Modifications Contractor

Other Service Providers Taxonomy 171WH0202X

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Driver

Other Service Providers Taxonomy 172A00000X

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Lodging Provider

Other Service Providers Taxonomy 177F00000X

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Registry record

NPI: 1760290597
Entity type: Individual
Sex (as registered): Male
NPI issued: 26 Dec 2024
Record last updated: 26 Dec 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.