Provider Demographics
NPI:1306654488
Name:MAFRA SOUSA BUTCHACAS, JANI
Entity type:Individual
Prefix:
First Name:JANI
Middle Name:
Last Name:MAFRA SOUSA BUTCHACAS
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:ROUTE DE LA BAUME, PORTE A07
Mailing Address - Street 2:RESIDENCE BELLA VISTA
Mailing Address - City:POULX
Mailing Address - State:OCCITANIE
Mailing Address - Zip Code:30320
Mailing Address - Country:FR
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:ROUTE DE LA BAUME, PORTE A07
Practice Address - Street 2:RESIDENCE BELLA VISTA
Practice Address - City:POULX
Practice Address - State:OCCITANIE
Practice Address - Zip Code:30320
Practice Address - Country:FR
Practice Address - Phone:614-505-5245
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-12-20
Last Update Date:2025-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171R00000XOther Service ProvidersInterpreter